Organization Active NPI

Top Flight Registry Inc

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1295356905
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 21, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Mar 20, 2017 in CA
Enrollment address
4208 N Freeway Blvd
Ste 7a
Sacramento, CA 95834-1241
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
TFR - Home Health AgencyCCN 757361
Ownership
-
Certified
Jul 10, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2272593Top Flight Registry Inc Dba Home Health Agancy4208 N Freeway Blvd Ste 7a, Sacramento, CA 95834Certificate of waiverNov 22, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Kelly Barasa Walubengo Individual 5% Or Greater Direct Ownership InterestPresident Jan 5, 2023 70%
Corporate OfficerPresident Jan 5, 2023 70%
Corporate DirectorPresident Mar 20, 2020 100%
W-2 Managing EmployeePresident Jan 5, 2023 70%
Nkem Obiaga Individual 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 Individual Corporate Director Sep 17, 2020
W-2 Managing Employee Sep 17, 2020
Operational/Managerial Control Sep 17, 2020
Reuben Natembea Kibunguchy Individual Corporate Officer Jan 18, 2018
Corporate Director Jan 18, 2018
W-2 Managing Employee Jan 18, 2018
Chinenye Obiaga Individual 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 Individual 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

Verify at the official NPI Registry.