Active NPI
Star Home Health Care Inc.
- Home Health Agency
- Burbank, CA
National Provider Identifier
1174902894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- STAR HOME HEALTH CARE INC.
- Practice address
- 2021 W Burbank Blvd
Burbank, CA 91506-1318 - Phone
- (818) 588-3395
- Fax
- (818) 688-3180
- NPI assigned
- May 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lilya Mirzoyan
- Title
- Ceo
- Phone
- (213) 705-7575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2021 W Burbank Blvd
Burbank, CA 91506-1318
Mailing address
2021 W Burbank Blvd
Burbank, CA 91506-1318
Phone (818) 588-3395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191203000893 | CA | Part A Provider - Home Health Agency | 4688007842 | Practice locations: Glendale, CA |
Home health agency certification: CCN 559301
- Legal name
- STAR HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 14, 2020
- Last certification
- Apr 14, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 434 W Colorado St
Ste 202
Glendale, CA 91204-3077
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Star Home Health Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 14, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
2021 W Burbank Blvd
Burbank, CA 91506
Phone (818) 588-3395
327 Arden Ave
Ste 201A
Glendale, CA 91203
Phone (818) 588-3395
434 W Colorado St
Ste 202
Glendale, CA 91204
Phone (818) 588-3395
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Diana Kazarian | 5% Or Greater Direct Ownership Interest | Feb 27, 2018 | 100% |
| Corporate Officer | Feb 27, 2018 | 100% | |
| Corporate Director | Feb 27, 2018 | 100% | |
| W-2 Managing Employee | Feb 27, 2018 | 100% | |
| Operational/Managerial Control | Feb 27, 2018 | 100% | |
| Mari Mara Pogosian | Contracted Managing Employee | Apr 1, 2026 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432684800000",
"number": "1174902894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 W BURBANK BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061318",
"telephone_number": "818-588-3395",
"fax_number": "818-688-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 W BURBANK BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061318",
"telephone_number": "818-588-3395",
"fax_number": "818-688-3180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR HOME HEALTH CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-27",
"status": "A",
"authorized_official_last_name": "MIRZOYAN",
"authorized_official_first_name": "LILYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-705-7575"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.