Stars and Stripes Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STARS AND STRIPES HOME HEALTH

Practice address

4605 Lankershim Blvd Ste 209a
North Hollywood, CA 91602-1874

Phone

(747) 282-0865

Fax

(747) 282-0866

NPI assigned

Jul 26, 2021

Last updated

Jul 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Varduhi Tovmasyan

Title

Ceo

Phone

(747) 282-0865

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417620584. Details of each certification follow.

• CCN 757127 Home health agency · Active · Details

Home health agency certification: CCN 757127

Legal name

STARS AND STRIPES HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 12, 2023

Last certification

Jan 12, 2023

Organization structure

CorporationProprietary

Incorporated

Jul 15, 2021 in CA

Enrollment address

4605 Lankershim Blvd
Ste 209a
North Hollywood, CA 91602-1874

Listed as

Stars and Stripes Home HealthCCN 757127 · All quality measures

Overall star rating

4 of 5

Ownership

-

Certified

Jan 12, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1417620584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 LANKERSHIM BLVD STE 209A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021874",
            "telephone_number": "747-282-0865",
            "fax_number": "747-282-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 LANKERSHIM BLVD STE 209A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021874",
            "telephone_number": "747-282-0865",
            "fax_number": "747-282-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARS AND STRIPES HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "TOVMASYAN",
        "authorized_official_first_name": "VARDUHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-282-0865"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Medical Products, Inc
• Star Spangled Home Health Inc
• Judd Stark, CADC-I
• Starlight Facility Inc (Residential Care Facility for the Elderly)
• Starr Hospice, Inc.
• Stay Healthy Community Health Center
• George Stelzner
• Carlen Carl Stepanian, BUSINESS
• Sura E Stephan, RPH
• Stephen M. Levine MD., Apc (Physicians Home Services Medical Group of Ca.)

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.

Verify at the official NPI Registry.