Allegiance Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALLEGIANCE HOME HEALTH SERVICES, INC.

Practice address

13609 Victory Blvd Ste 234
Van Nuys, CA 91401-6436

Phone

(818) 740-8928

NPI assigned

Mar 20, 2019

Last updated

Mar 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Liana Margaryan

Title

Ceo/President

Phone

(818) 740-8928

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093275620. Details of each certification follow.

• CCN 559289 Home health agency · Active · Details

Home health agency certification: CCN 559289

Legal name

ALLEGIANCE HOME HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 12, 2020

Last certification

Aug 12, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 4, 2019 in CA

Enrollment address

14435 Hamlin St
Ste 103
Van Nuys, CA 91401-6205
HHA Branch

Listed as

Allegiance Home Health Services, IncCCN 559289 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Aug 12, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ronald Yusi Bangsil, MD

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1043261654

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1093275620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD STE 234",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016436",
            "telephone_number": "818-740-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD STE 234",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016436",
            "telephone_number": "818-740-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "MARGARYAN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-740-8928"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Mar 20, 2019; 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.