NPIMap

Organization Active NPI

Pegasus Home Health Care Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1366447534
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000856 Issued in CA
Legal business name
PEGASUS HOME HEALTH CARE INC
Practice address
132 N Maryland Ave
Glendale, CA 91206-4235
Phone
(818) 551-1932
Fax
(818) 551-1936
NPI assigned
Jun 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Mrs. Pamela J Spiszman, RN
Title
President and Ceo
Phone
(818) 551-1932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000856 CA Primary

Addresses

Primary practice location

132 N Maryland Ave
Glendale, CA 91206-4235

Mailing address

132 N Maryland Ave
Glendale, CA 91206-4235
Phone (818) 551-1932

Other identifiers 1

IdentifierTypeStateIssuer
HHA57479FMedicaidCA

Other names 1

  • Pegasus Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031122000160 CA Part A Provider - Home Health Agency 9739083502 Practice locations: Glendale, CA

Home health agency certification: CCN 557479

Legal name
PEGASUS HOME HEALTH CARE INC
Doing business as
PEGASUS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 27, 1994
Last certification
Jul 22, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
505 N Brand Blvd
Ste 1000
Glendale, CA 91203-3924

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pegasus Home Health Care, Inc.CCN 557479
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 27, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

132 N Artsakh Ave
Glendale, CA 91206
Phone (818) 551-1932

1025 N Brand Blvd
Ste 225
Glendale, CA 91202
Phone (818) 551-1932

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
Pamela Spiszman Individual 5% Or Greater Direct Ownership Interest Nov 28, 1995 100%
Corporate OfficerPresident/Ceo Oct 3, 1994 100%
Corporate Director Nov 26, 2003
W-2 Managing Employee Nov 28, 1995
Operational/Managerial ControlPresident Oct 3, 1994 100%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1366447534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N MARYLAND AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064235",
            "telephone_number": "818-551-1932",
            "fax_number": "818-551-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N MARYLAND AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064235",
            "telephone_number": "818-551-1932",
            "fax_number": "818-551-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "SPISZMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "818-551-1932",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57479F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pegasus Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.