Organization Active NPI

Starlight Home Health Inc

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1295481737
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STARLIGHT HOME HEALTH INC
Practice address
133 N Altadena Dr Ste 302
Pasadena, CA 91107-7337
Phone
(626) 313-3411
Fax
(626) 313-3412
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Suren Sargsyan
Title
Ceo
Phone
(626) 313-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

133 N Altadena Dr Ste 302
Pasadena, CA 91107-7337

Mailing address

133 N Altadena Dr Ste 302
Pasadena, CA 91107-7337
Phone (626) 313-3411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240205000739 CA Part A Provider - Home Health Agency 8022451392 Practice locations: Pasadena, CA

Home health agency certification: CCN 757758

Legal name
STARLIGHT HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 12, 2024
Last certification
Sep 12, 2024
Organization structure
CorporationProprietary
Enrollment address
133 N Altadena Dr
Ste 302
Pasadena, CA 91107-7337

Care Compare: Home health agency

Medicare Care Compare
Listed as
Starlight Home Health IncCCN 757758 · All quality measures
Ownership
-
Certified
Sep 12, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

133 N Altadena Dr
Ste 302
Pasadena, CA 91107
Phone (626) 313-3411

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
Suren Sargsyan Individual 5% Or Greater Direct Ownership InterestCeo Jan 28, 2022 100%
Corporate OfficerCeo Jan 28, 2022 100%
Corporate DirectorCeo Jan 28, 2022 100%
W-2 Managing EmployeeCeo Jan 28, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1295481737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR STE 302",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077337",
            "telephone_number": "626-313-3411",
            "fax_number": "626-313-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR STE 302",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077337",
            "telephone_number": "626-313-3411",
            "fax_number": "626-313-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "SUREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-313-3411"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.