Organization Active NPI

Lifestar Home Health Care, Inc.

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1356983472
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFESTAR HOME HEALTH CARE, INC.
Practice address
20501 Ventura Blvd Ste 217
Woodland Hills, CA 91364-6400
Phone
(800) 607-6077
Fax
(424) 345-2888
NPI assigned
Oct 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Mr. Daniel Golchian
Title
Ceo
Phone
(800) 607-6077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

20501 Ventura Blvd Ste 217
Woodland Hills, CA 91364-6400

Mailing address

20501 Ventura Blvd Ste 217
Woodland Hills, CA 91364-6400
Phone (800) 607-6077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200814001166 CA Part A Provider - Home Health Agency 5395161822 Practice locations: Woodland Hills, CA

Home health agency certification: CCN 559376

Legal name
LIFESTAR HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 20, 2020
Last certification
Oct 20, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 30, 2019 in CA
Enrollment address
20501 Ventura Blvd
Ste 217
Woodland Hills, CA 91364-6400

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lifestar Home Health Care, IncCCN 559376
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 20, 2020
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
05D2319724Lifestar Home Health Care, Inc20501 Ventura Blvd, Woodland Hills, CA 91364Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Locations

16442 Vanowen St
Ste A
Lake Balboa, CA 91406
Phone (747) 212-0870

20501 Ventura Blvd
Ste 217
Woodland Hills, CA 91364
Phone (800) 607-6077

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
Mitra Nassimi Moghaddam Individual 5% Or Greater Direct Ownership Interest Dec 11, 2023 50%
Corporate OfficerSecretary/Administrator Designee Jan 18, 2022 50%
Corporate DirectorSecretary/Administrator Designee Jan 18, 2022 50%
W-2 Managing EmployeeSecretary/Administrator Designee Jan 18, 2022 50%
Daniel Golchian Individual 5% Or Greater Direct Ownership Interest Dec 11, 2023 50%
Corporate OfficerCeo/President/Cfo/Board Member/2 Jan 18, 2022 50%
Corporate DirectorCeo/President/Cfo/Board Member/2 Jan 18, 2022 50%
W-2 Managing EmployeeCeo/President/Cfo/Board Member/2 Jan 18, 2022 50%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1356983472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20501 VENTURA BLVD STE 217",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646400",
            "telephone_number": "800-607-6077",
            "fax_number": "424-345-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20501 VENTURA BLVD STE 217",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646400",
            "telephone_number": "800-607-6077",
            "fax_number": "424-345-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "GOLCHIAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-607-6077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.