Blue Star Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001503 Issued in CA

Legal business name

BLUE STAR HOME HEALTH INC

Practice address

21731 Ventura Blvd Ste 210
Woodland Hills, CA 91364-5111

Phone

(818) 772-7600

Fax

(818) 772-2110

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Venus Mohammad

Title

Ceo

Phone

(818) 772-7600

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058247

Legal name

BLUE STAR HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 10, 2004

Last certification

Mar 22, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 10, 2003 in CA

Enrollment address

21731 Ventura Blvd
Ste 210
Woodland Hills, CA 91364-5111

Listed as

Blue Star Home Health IncCCN 058247

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Apr 10, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Affiliated clinicians 3

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

• Saeid Karandish, MD

  • Internal Medicine Physician
  • Encino, CA
  • NPI 1528419710

  Home health agency

  Care Compare affiliation
• Manoutcher Khalili, MD

  • Family Medicine Physician
  • Gardena, CA
  • NPI 1861446841

  Home health agency

  Care Compare affiliation
• Amir H Rad, M.D

  • Nuclear Medicine Physician
  • San Diego, CA
  • NPI 1710262472

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1508816299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21731 VENTURA BLVD STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645111",
            "telephone_number": "818-772-7600",
            "fax_number": "818-772-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21731 VENTURA BLVD STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645111",
            "telephone_number": "818-772-7600",
            "fax_number": "818-772-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "MOHAMMAD",
        "authorized_official_first_name": "VENUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-772-7600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08247F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO CUSTOMER NUMBER",
            "identifier": "396420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Blinder, PHARM.D.
• Bliss Pharmacy Inc
• Laura Blizinski
• Bloom Health Care
• Bloom Wellness Center Inc
• Kinsey Blue
• Michael Blumenfield, MD
• Brynne Blumstein, MS, BCBA
• Bobby Stankov Dental Corporation
• Marianne Boco

• Home Health Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 Aug 24, 2023; 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.