Organization Active NPI

Luna Plus Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1346769270
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUNA PLUS HOME HEALTH, INC.
Practice address
6308 Woodman Ave Ste 116
Van Nuys, CA 91401-2380
Phone
(818) 465-3601
Fax
(818) 465-3701
NPI assigned
Sep 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Hagop Pagarian
Title
President/Ceo
Phone
(310) 905-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6308 Woodman Ave Ste 116
Van Nuys, CA 91401-2380

Mailing address

6308 Woodman Ave Ste 116
Van Nuys, CA 91401-2380
Phone (818) 465-3601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190426000623 CA Part A Provider - Home Health Agency 3072874825 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559025

Legal name
LUNA PLUS HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 27, 2019
Last certification
Jun 27, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 8, 2017 in CA
Enrollment address
6308 Woodman Ave
Ste 116
Van Nuys, CA 91401-2380

Care Compare: Home health agency

Medicare Care Compare
Listed as
Luna Plus Home Health, IncCCN 559025
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 27, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2163762Luna Plus Home Health Inc6308 Woodman Avenue, Suite 2015, Van Nuys, CA 91401Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory

Locations

6308 Woodman Ave
Ste 116
Van Nuys, CA 91401
Phone (818) 465-3601

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
Hagop Pagarian Individual 5% Or Greater Direct Ownership Interest Aug 8, 2017 100%
Corporate OfficerCeo Aug 8, 2017 100%
Corporate DirectorChairman of the Board Aug 8, 2017 100%
W-2 Managing EmployeePresident/Ceo Aug 8, 2017 100%

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346769270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 WOODMAN AVE STE 116",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012380",
            "telephone_number": "818-465-3601",
            "fax_number": "818-465-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 WOODMAN AVE STE 116",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012380",
            "telephone_number": "818-465-3601",
            "fax_number": "818-465-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA PLUS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "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"
    },
    "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.