Active NPI
Top Flight Registry Inc
- Home Health Agency
- Sacramento, CA
National Provider Identifier
1295356905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TOP FLIGHT REGISTRY INC
- Practice address
- 4208 N Freeway Blvd Ste 7a
Sacramento, CA 95834-1241 - Phone
- (916) 670-5967
- Fax
- (916) 473-5824
- NPI assigned
- May 4, 2020
- 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
- Mr. Kelly Barasa Walubengo
- Title
- President
- Phone
- (916) 715-1337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4208 N Freeway Blvd Ste 7a
Sacramento, CA 95834-1241
Mailing address
4208 N Freeway Blvd Ste 7a
Sacramento, CA 95834-1241
Phone (916) 670-5967
Other names 1
- TFR-HOME HEALTH AGENCY
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Server | Direct | |
| CONNECT URL | Server | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201204002372 | CA | Part A Provider - Home Health Agency | 4183035652 | Practice locations: Sacramento, CA |
Home health agency certification: CCN 757361
- Legal name
- TOP FLIGHT REGISTRY INC
- Doing business as
- TFR-HOME HEALTH AGENCY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 10, 2023
- Last certification
- Jun 21, 2023
- Organization structure
- Corporation
- Incorporated
- Mar 20, 2017 in CA
- Enrollment address
- 4208 N Freeway Blvd
Ste 7a
Sacramento, CA 95834-1241
Care Compare: Home health agency
Medicare Care Compare- Listed as
- TFR - Home Health Agency
- Ownership
- -
- Certified
- Jul 10, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2272593 | Top Flight Registry Inc Dba Home Health Agancy | Certificate of waiver | Nov 22, 2026 |
National Provider Directory
National Provider DirectoryLocations
4200 N Freeway Blvd
Ste 7
Sacramento, CA 95834
4208 N Freeway Blvd
Ste 7A
Sacramento, CA 95834
Phone (916) 670-5967
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Kelly Barasa Walubengo | 5% Or Greater Direct Ownership Interest | Jan 5, 2023 | 70% |
| Corporate Officer | Jan 5, 2023 | 70% | |
| Corporate Director | Mar 20, 2020 | 100% | |
| W-2 Managing Employee | Jan 5, 2023 | 70% | |
| Nkem Obiaga | 5% Or Greater Direct Ownership Interest | Jan 5, 2023 | 15% |
| Corporate Officer | Jan 5, 2023 | 15% | |
| W-2 Managing Employee | Jan 5, 2023 | 15% | |
| Decimah M Sidori | Corporate Director | Sep 17, 2020 | |
| W-2 Managing Employee | Sep 17, 2020 | ||
| Operational/Managerial Control | Sep 17, 2020 | ||
| Reuben Natembea Kibunguchy | Corporate Officer | Jan 18, 2018 | |
| Corporate Director | Jan 18, 2018 | ||
| W-2 Managing Employee | Jan 18, 2018 | ||
| Chinenye Obiaga | 5% Or Greater Direct Ownership Interest | Jan 5, 2023 | 15% |
| Corporate Officer | Jan 5, 2023 | 15% | |
| W-2 Managing Employee | Jan 5, 2023 | 15% | |
| Margaret Namukhula Crutcher | Corporate Officer | Mar 1, 2017 | |
| Corporate Director | Mar 1, 2017 | ||
| W-2 Managing Employee | Mar 1, 2017 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603238400000",
"number": "1295356905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 N FREEWAY BLVD STE 7A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341241",
"telephone_number": "916-670-5967",
"fax_number": "916-473-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 N FREEWAY BLVD STE 7A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341241",
"telephone_number": "916-670-5967",
"fax_number": "916-473-5824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOP FLIGHT REGISTRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-04",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A",
"authorized_official_last_name": "WALUBENGO",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "BARASA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-715-1337",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Server",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4208 N Freeway Blvd Ste 7A",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958341241",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Server",
"affiliation": "N",
"endpointDescription": "Dell Server",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4208 N Freeway Blvd Ste 7A",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958341241",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "TFR-HOME HEALTH AGENCY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.