Unistaff Registry, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

UNISTAFF REGISTRY, LLC

Practice address

1937 Pontius Ave
Los Angeles, CA 90025-5611

Phone

(310) 889-9929

NPI assigned

Jan 2, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Tze Yun Yun

Title

LLC Member

Phone

(310) 889-9929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559675

Legal name

UNISTAFF REGISTRY, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 8, 2021

Last certification

Jul 8, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Aug 24, 2001 in CA

Enrollment address

1937 Pontius Ave
Los Angeles, CA 90025-5611

Listed as

Unistaff Registry, LLCCCN 559675 · All quality measures

Ownership

Proprietary

Certified

Jul 8, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Robert L Buckingham, MD

  • Internal Medicine Physician
  • Ojai, CA
  • NPI 1023147675

  Home health agency

  Care Compare affiliation
• Tony K Tseng, M.D., M.S.

  • Internal Medicine Physician
  • South Gate, CA
  • NPI 1558523670

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1356814305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 PONTIUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 PONTIUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255611",
            "telephone_number": "310-889-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNISTAFF REGISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "TZE YUN",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "310-889-9929",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.