Organization Active NPI

Luz Home Health Care Inc.

  • Home Health Agency
  • Huntington Park, CA
National Provider Identifier
1205370467
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 757333 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
Feb 21, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Maria Gonzalez Individual 5% Or Greater Direct Ownership InterestHuman Resources Director/LVN Aug 29, 2025 40%
Luz Avalos Individual 5% Or Greater Direct Ownership InterestOwner/Administrator Aug 29, 2025 60%
Corporate OfficerPresident Oct 12, 2016 100%
Corporate DirectorBoard Member Oct 12, 2016 100%
W-2 Managing EmployeeAdministrator Oct 12, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

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

Verify at the official NPI Registry.