Lgam Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LGAM HOME HEALTH CARE INC.

Practice address

15300 Devonshire St Ste 204
Mission Hills, CA 91345-2781

Phone

(747) 236-4710

NPI assigned

Sep 8, 2021

Last updated

Sep 8, 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

Greta Tumasyan

Title

Ceo

Phone

(747) 236-4710

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 1538838115. Details of each certification follow.

• CCN 757568 Home health agency · Active · Details

Home health agency certification: CCN 757568

Legal name

LGAM HOME HEALTH CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 8, 2023

Last certification

Dec 6, 2023

Organization structure

CorporationProprietary

Incorporated

Jun 23, 2021 in CA

Enrollment address

15300 Devonshire St
Ste 204
Mission Hills, CA 91345-2781

Listed as

Lgam Home Health Care IncCCN 757568 · All quality measures

Ownership

-

Certified

Dec 8, 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": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1538838115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 DEVONSHIRE ST STE 204",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 DEVONSHIRE ST STE 204",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452781",
            "telephone_number": "747-236-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGAM HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "TUMASYAN",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-236-4710"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoonjee K Lee, MD.
• Young Suk Lee, LAC
• Legacy Mind & Wellness Behavioral Health Nursing, a Professional Corporation
• Legacy Pharmacy Inc (Legacy Pharmacy)
• Maya Levy, M.D.
• Rafael E Li Jimenez, M.D.
• Geoffrey Liang, D.O.
• Life Care Health Services at Home, Inc.
• Deborah C. Ligon, N.P.
• Grace E Lim, LAC

• Home Health Agency in Mission Hills, CA
• Providers in Mission 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 Sep 8, 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.