Luna Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LUNA HOME HEALTH, INC.

Practice address

14126 Sherman Way
Ste 204
Van Nuys, CA 91405-5600

Phone

(310) 905-2990

NPI assigned

Jun 20, 2013

Last updated

Jun 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Hagop Pagarian, 3109052990

Title

President/Ceo

Phone

(310) 905-2990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295174464. Details of each certification follow.

• CCN 059668 Home health agency · Active · Details

Home health agency certification: CCN 059668

Legal name

LUNA HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 26, 2015

Last certification

Jul 21, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 17, 2013 in CA

Enrollment address

14126 Sherman Way
Ste 204
Van Nuys, CA 91405-5631
HHA Branch

Listed as

Luna Home Health, IncCCN 059668 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

May 26, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

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.

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1295174464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14126 SHERMAN WAY",
            "address_2": "STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055600",
            "telephone_number": "310-905-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14126 SHERMAN WAY",
            "address_2": "STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055600",
            "telephone_number": "310-905-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "PAGARIAN",
        "authorized_official_first_name": "HAGOP",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-905-2990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "3109052990"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Jun 20, 2013; 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.

Verify at the official NPI Registry.