Broadway Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BROADWAY HOME HEALTH SERVICES, INC.

Practice address

644 W Broadway
Ste 100
Glendale, CA 91204-1026

Phone

(818) 500-0041

Fax

(818) 500-1164

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Fatima Luceia Pagtakhan

Title

President/Ceo

Phone

(818) 500-0041

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1154522928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 W BROADWAY",
            "address_2": "STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041026",
            "telephone_number": "818-500-0041",
            "fax_number": "818-500-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 W BROADWAY",
            "address_2": "STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041026",
            "telephone_number": "818-500-0041",
            "fax_number": "818-500-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "PAGTAKHAN",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_middle_name": "LUCEIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-500-0041"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendale, CA
• Providers in Glendale, 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 Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.