Lucky Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LUCKY HOME HEALTH CARE

Practice address

14549 Archwood St Ste 311
Van Nuys, CA 91405-4633

Phone

(818) 216-4828

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 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

Emma Yeganyan

Title

Ceo

Phone

(818) 216-4828

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 1619648581. Details of each certification follow.

• CCN 757416 Home health agency · Active · Details

Home health agency certification: CCN 757416

Legal name

LUCKY HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 17, 2023

Last certification

Oct 10, 2023

Organization structure

CorporationProprietary

Incorporated

Sep 14, 2021 in CA

Enrollment address

14549 Archwood St
Ste 311
Van Nuys, CA 91405-4633

Listed as

Lucky Home Health CareCCN 757416 · All quality measures

Overall star rating

3.5 of 5

Ownership

-

Certified

Oct 17, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1619648581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14549 ARCHWOOD ST STE 311",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054633",
            "telephone_number": "818-216-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14549 ARCHWOOD ST STE 311",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054633",
            "telephone_number": "818-216-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "YEGANYAN",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-216-4828"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethel Roman Lucero, PT
• Gila Susan Lucero, MFT
• Priscilla Marie Lucero
• Rhoderick Luciano
• Julita Mendoza Lucio, DDS
• Erik Lugo
• Samuel Joseph Lugo
• Cindy Yiu-Cin Lui
• Lulis Catering & Kitchen Inc
• Lulis Catering, Inc.

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 21, 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.