Active NPI
Luz Home Health Care Inc.
- Home Health Agency
- Huntington Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LUZ HOME HEALTH CARE INC.
- Doing business as
- Luz Home Health Care Inc
- Practice address
- 2701 E Gage Ave Ste 203
Huntington Park, CA 90255-5491 - Phone
- (323) 636-3932
- Fax
- (323) 553-9106
- NPI assigned
- Dec 7, 2016
- Last updated
- Mar 18, 2024
- 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
- Luz Avalos
- Title
- Administrator/Owner
- Phone
- (323) 636-3932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2701 E Gage Ave Ste 203
Huntington Park, CA 90255-5491
Mailing address
2701 E Gage Ave Ste 203
Huntington Park, CA 90255-5491
Phone (323) 636-3932
Other names 1
- Luz Home Health Care Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170828001035 | CA | Part A Provider - Home Health Agency | 3173895018 | Practice locations: Huntington Park, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1205370467. Details of each certification follow.
Home health agency certification: CCN 757333
- Legal name
- LUZ HOME HEALTH CARE, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 21, 2023
- Last certification
- Jan 20, 2023
- Organization structure
- Corporation
- Incorporated
- Oct 12, 2016 in CA
- Enrollment address
- 2701 E Gage Ave
Ste 203
Huntington Park, CA 90255-5491
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Luz Home Health Care, Inc
- Overall star rating
- Ownership
- -
- Certified
- Feb 21, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
2701 E Gage Ave
Ste 203
Huntington Park, CA 90255
Phone (323) 553-9104
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 |
|---|---|---|---|
| Maria Gonzalez | 5% Or Greater Direct Ownership Interest | Aug 29, 2025 | 40% |
| Luz Avalos | 5% Or Greater Direct Ownership Interest | Aug 29, 2025 | 60% |
| Corporate Officer | Oct 12, 2016 | 100% | |
| Corporate Director | Oct 12, 2016 | 100% | |
| W-2 Managing Employee | Oct 12, 2016 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Irvine, CA
- NPI 1124273313
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1205370467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 E GAGE AVE STE 203",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555491",
"telephone_number": "323-636-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 E GAGE AVE STE 203",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555491",
"telephone_number": "323-636-3932",
"fax_number": "323-553-9106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUZ HOME HEALTH CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-07",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "AVALOS",
"authorized_official_first_name": "LUZ",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "323-636-3932"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Luz Home Health Care Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.