Active NPI
Agb Home Health, Inc
- Home Health Agency
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AGB HOME HEALTH, INC
- Practice address
- 40 N Altadena Dr Ste 200G
Pasadena, CA 91107-7363 - Phone
- (310) 800-5554
- NPI assigned
- Oct 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corinne-Morado Rich
- Title
- Ceo
- Phone
- (310) 516-9255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
40 N Altadena Dr Ste 200G
Pasadena, CA 91107-7363
Mailing address
40 N Altadena Dr Ste 200G
Pasadena, CA 91107-7363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210127003474 | CA | Part A Provider - Home Health Agency | 1951715242 | Practice locations: Pasadena, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1356982094. Details of each certification follow.
Home health agency certification: CCN 559707
- Legal name
- AGB HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 2, 2021
- Last certification
- Dec 2, 2021
- Organization structure
- Corporation
- Incorporated
- Sep 16, 2019 in CA
- Enrollment address
- 40 N Altadena Dr
Ste 200G
Pasadena, CA 91107-7363
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Agb Home Health, Inc.
- Ownership
- Proprietary
- Certified
- Jun 12, 2001
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Agb Home Health, Inc.
- Overall star rating
- Ownership
- -
- Certified
- Dec 2, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
728 S Hill St
Ste 605A
Los Angeles, CA 90014
Phone (310) 516-9255
40 N Altadena Dr
Ste 200G
Pasadena, CA 91107
Phone (310) 516-9255
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Corinne Morado | 5% Or Greater Direct Ownership Interest | Feb 26, 2024 | 49% |
| Corporate Officer | Feb 26, 2024 | ||
| Corporate Director | Feb 26, 2024 | ||
| W-2 Managing Employee | Feb 26, 2024 | ||
| Ashot Galadjian | 5% Or Greater Direct Ownership Interest | Feb 26, 2024 | 51% |
| Corporate Officer | Feb 26, 2024 | ||
| W-2 Managing Employee | Feb 26, 2024 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717286400000",
"number": "1356982094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 N ALTADENA DR STE 200G",
"city": "PASADENA",
"state": "CA",
"postal_code": "911077363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 N ALTADENA DR STE 200G",
"city": "PASADENA",
"state": "CA",
"postal_code": "911077363",
"telephone_number": "310-800-5554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGB HOME HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-03",
"last_updated": "2024-06-02",
"certification_date": "2024-06-02",
"status": "A",
"authorized_official_last_name": "RICH",
"authorized_official_first_name": "CORINNE-MORADO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-516-9255"
},
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; 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.