Leader Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LEADER HOME HEALTH INC

Practice address

2950 Honolulu Ave Apt D
Glendale, CA 91214-3971

Phone

(747) 296-4390

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Levon Haik Gukasyan

Title

President

Phone

(747) 296-4390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757835

Legal name

LEADER HOME HEALTH,INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 22, 2024

Last certification

Aug 21, 2024

Organization structure

CorporationProprietary

Incorporated

Jul 27, 2021 in CA

Enrollment address

2950 Honolulu Ave
Apt D
Glendale, CA 91214-3971

Listed as

Leader Home Health, Inc.CCN 757835

Ownership

-

Certified

Aug 22, 2024

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 2

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": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1649944604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 HONOLULU AVE APT D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912143971",
            "telephone_number": "747-296-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HONOLULU AVE APT D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912143971",
            "telephone_number": "747-296-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADER HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "GUKASYAN",
        "authorized_official_first_name": "LEVON",
        "authorized_official_middle_name": "HAIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "747-296-4390"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nghia Thiphung Le, PHARMD
• Thinh Trung Le, DPM
• VI Le
• Lea Home Health
• Mayana Lea
• Jensen Leano
• Katie Lebleu, RDN
• Betty Wai-Han Lee-Villanueva, O.D.
• Anne Ya Ping Lee, PA, MSPAS, MPH
• Carol H Lee, OD

• Home Health Agency in Glendale, CA
• Providers in Glendale, 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 6, 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.