Organization Active NPI

Pegasus HH, Inc.

Doing business as Secure Home Health Care

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1255733234
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEGASUS HH, INC.
Doing business as
Secure Home Health Care
Practice address
105 W Alameda Ave Ste 217
Burbank, CA 91502-2254
Phone
(818) 744-1014
NPI assigned
Sep 22, 2014
Last updated
Sep 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Authorized official

Name
Ustiana Shaginian
Title
President
Phone
(818) 744-1014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

105 W Alameda Ave Ste 217
Burbank, CA 91502-2254

Mailing address

105 W Alameda Ave Ste 217
Burbank, CA 91502-2254
Phone (818) 744-1014

Other names 1

  • SECURE HOME HEALTH CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141030000106 CA Part A Provider - Home Health Agency 8426279779 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255733234. Details of each certification follow.

Home health agency certification: CCN 059753

Legal name
PEGASUS HH, INC.
Doing business as
SECURE HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 6, 2016
Last certification
May 16, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 28, 2014 in CA
Enrollment address
105W Alameda Ave 217
Burbank, CA 91502-2254
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Secure Home Health CareCCN 059753 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 6, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2098968Pegasus HH, Inc105 W Alameda Ave Ste 217, Burbank, CA 91502Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

105 W Alameda Ave
Ste 217
Burbank, CA 91502
Phone (818) 744-1014

Ownership & related parties

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.

NameRoleSinceShare
Ustiana Shaginian Individual 5% Or Greater Direct Ownership Interest Aug 28, 2014 100%
Corporate OfficerCeo / Cfo Aug 28, 2014 100%
W-2 Managing EmployeeAdmin / DPCS Aug 28, 2014

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1255733234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W ALAMEDA AVE STE 217",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022254",
            "telephone_number": "818-744-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W ALAMEDA AVE STE 217",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022254",
            "telephone_number": "818-744-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS HH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "SHAGINIAN",
        "authorized_official_first_name": "USTIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-744-1014"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SECURE HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.