Organization Active NPI

Agb Home Health, Inc

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1356982094
Registry record updated Jun 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 2, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 058072
Ownership
Proprietary
Certified
Jun 12, 2001
Medicare certification status
ActiveFrom the Provider of Services file
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.CCN 559707 · All quality measures
Overall star rating
1 of 5
Ownership
-
Certified
Dec 2, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Corinne Morado Individual 5% Or Greater Direct Ownership Interest Feb 26, 2024 49%
Corporate OfficerCeo/Cfo/Sec/Admin Feb 26, 2024
Corporate DirectorCeo/Cfo/Sec/Admin Feb 26, 2024
W-2 Managing EmployeeAd; Feb 26, 2024
Ashot Galadjian Individual 5% Or Greater Direct Ownership Interest Feb 26, 2024 51%
Corporate OfficerPresident Feb 26, 2024
W-2 Managing EmployeePresident 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

Verify at the official NPI Registry.