First Light Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRST LIGHT HOME HEALTH SERVICES, INC.

Practice address

507 W Foothill Blvd Unit a
Monrovia, CA 91016-2021

Phone

(818) 850-6147

NPI assigned

Jul 23, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tatevik Torossian

Title

Ceo

Phone

(818) 850-6147

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757163

Legal name

FIRST LIGHT HOME HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 26, 2022

Last certification

Oct 26, 2022

Organization structure

CorporationProprietary

Incorporated

Jul 7, 2020 in CA

Enrollment address

507 W Foothill Blvd
Unit a
Monrovia, CA 91016-2021

Listed as

First Light Home Health Services, Inc.CCN 757163

Ownership

-

Certified

Oct 26, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1053920207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W FOOTHILL BLVD UNIT A",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162021",
            "telephone_number": "818-850-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W FOOTHILL BLVD UNIT A",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162021",
            "telephone_number": "818-850-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LIGHT HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "TOROSSIAN",
        "authorized_official_first_name": "TATEVIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-850-6147"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Fink
• Jacob Finley
• Lania Finley
• Tammy Finnell
• Sierra Firley
• Kylee First
• Courtney Fish
• Jacquelyn Fishbough
• Amorra Fisher
• Catherine Christina Fisher, MSW, LCSW

• Home Health Agency in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.