Organization Active NPI

United Star Home Health Care

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1326794488
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UNITED STAR HOME HEALTH CARE
Practice address
14540 Hamlin St Ste E4
Van Nuys, CA 91411-1626
Phone
(747) 212-4232
Fax
(747) 212-4342
NPI assigned
Feb 28, 2022
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Ruben Isahakyan
Title
Ceo
Phone
(747) 212-4232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14540 Hamlin St Ste E4
Van Nuys, CA 91411-1626

Mailing address

14540 Hamlin St Ste E4
Van Nuys, CA 91411-1626
Phone (747) 212-4232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319001511 CA Part A Provider - Home Health Agency 6305283938 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326794488. Details of each certification follow.

Home health agency certification: CCN 757823

Legal name
UNITED STAR HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 12, 2024
Last certification
Nov 6, 2024
Organization structure
CorporationProprietary
Enrollment address
14540 Hamlin St
Ste E4
Van Nuys, CA 91411-1626

Care Compare: Home health agency

Medicare Care Compare
Listed as
United Star Home Health CareCCN 757823 · All quality measures
Ownership
-
Certified
Nov 12, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14540 Hamlin St
Ste E4
Van Nuys, CA 91411
Phone (747) 212-4232

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
Ruben Isahakyan Individual 5% Or Greater Direct Ownership InterestCeo Feb 6, 2022 100%
Corporate OfficerCeo Feb 6, 2022 100%
Corporate DirectorCeo Feb 6, 2022 100%
W-2 Managing Employee Feb 6, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1326794488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 HAMLIN ST STE E4",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111626",
            "telephone_number": "747-212-4232",
            "fax_number": "747-212-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 HAMLIN ST STE E4",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111626",
            "telephone_number": "747-212-4232",
            "fax_number": "747-212-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STAR HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "ISAHAKYAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-212-4232"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.