A&G Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A&G HOME HEALTH CARE LLC

Practice address

8300 Tampa Ave Ste E
Northridge, CA 91324-4270

Phone

(818) 644-5867

NPI assigned

Apr 15, 2019

Last updated

Apr 15, 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

Anna Gevorgyan

Title

President/Co

Phone

(818) 644-5867

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124681218. Details of each certification follow.

• CCN 559799 Home health agency · Active · Details

Home health agency certification: CCN 559799

Legal name

A&G HOME HEALTH CARE LLC

Doing business as

STARLITE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 25, 2022

Last certification

Mar 25, 2022

Organization structure

LLCProprietary

Incorporated

Mar 8, 2019 in CA

Enrollment address

8300 Tampa Ave
Ste E
Northridge, CA 91324-4270

Listed as

Starlite Home HealthCCN 559799 · All quality measures

Overall star rating

4.5 of 5

Ownership

-

Certified

Mar 25, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Thomas Sean William Petit, MD

  • Internal Medicine Physician
  • Norwalk, CA
  • NPI 1134423387

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1124681218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 TAMPA AVE STE E",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244270",
            "telephone_number": "818-644-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TAMPA AVE STE E",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244270",
            "telephone_number": "818-644-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&G HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT/CO",
        "authorized_official_telephone_number": "818-644-5867"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aghhcllc@mail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8300 Tampa Ave Ste E",
            "city": "Northridge",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913244270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Northridge, CA
• Providers in Northridge, 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 Apr 15, 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.