Organization Active NPI

Star Center Group Inc

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1396082004
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STAR CENTER GROUP INC
Practice address
5958 Vineland Ave
Suite K
North Hollywood, CA 91601-1329
Phone
(818) 579-4342
Fax
(818) 821-6856
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Marine A. Keshishian, RN
Title
Ceo
Phone
(818) 821-6854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5958 Vineland Ave
Suite K
North Hollywood, CA 91601-1329

Mailing address

5958 Vineland Ave
Suite K
North Hollywood, CA 91601-1329
Phone (818) 821-6854

Other names 1

  • Star Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000399 CA Part A Provider - Home Health Agency 8224282934 Practice locations: North Hollywood, CA

Home health agency certification: CCN 059663

Legal name
STAR CENTER GROUP INC.
Doing business as
STAR HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 8, 2015
Last certification
Aug 6, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 16, 2012 in CA
Enrollment address
5958 Vineland Ave
Ste K
North Hollywood, CA 91601-1329

Care Compare: Home health agency

Medicare Care Compare
Listed as
Star Home HealthCCN 059663
Overall star rating
3 of 5
Ownership
Proprietary
Certified
May 8, 2015
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
05D2094932Star Home Health5958 Vineland Ave Ste K, North Hollywood, CA 91601Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Locations

5958 Vineland Ave
Ste K
North Hollywood, CA 91601
Phone (818) 579-4342

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
Marine a Keshishian Individual 5% Or Greater Direct Ownership InterestCeo Apr 1, 2021 100%
Corporate OfficerCeo-Chairman of Board Apr 1, 2021 100%
Corporate DirectorCeo-Chairman of Board Apr 1, 2021 100%
W-2 Managing EmployeeCeo Apr 1, 2021 100%
Operational/Managerial ControlCeo Apr 1, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1396082004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 VINELAND AVE",
            "address_2": "SUITE K",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011329",
            "telephone_number": "818-821-6854",
            "fax_number": "818-821-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 VINELAND AVE",
            "address_2": "SUITE K",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011329",
            "telephone_number": "818-579-4342",
            "fax_number": "818-821-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CENTER GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "KESHISHIAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-821-6854",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.