Organization Active NPI

La Metropolitan Home Health Incorporated

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1659321925
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LA METROPOLITAN HOME HEALTH INCORPORATED
Practice address
18012 Hiawatha St Apt 272
Northridge, CA 91326-3578
Phone
(818) 831-7671
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Glenn Gabrang
Title
Owner
Phone
(818) 831-7671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18012 Hiawatha St Apt 272
Northridge, CA 91326-3578

Mailing address

18012 Hiawatha St Apt 272
Northridge, CA 91326-3578
Phone (818) 831-7671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070110000624 CA Part A Provider - Home Health Agency 8921008210 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Artesia, CA

Home health agency certification: CCN 058456

Legal name
L. A. METROPOLITAN HOME HEALTH INCORPORATED
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 21, 2008
Last certification
Nov 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 24, 2006 in CA
Enrollment address
17100 Pioneer Blvd
Ste 313
Artesia, CA 90701-2740

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
L a Metropolitan Home Health, IncorporationCCN 058456
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Mar 21, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Allan S Flores Individual 5% Or Greater Direct Ownership Interest May 1, 2009 100%
Corporate OfficerCeo May 1, 2009 100%
Corporate Director May 1, 2009
W-2 Managing Employee May 1, 2009

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659321925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18012 HIAWATHA ST APT 272",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913263578",
            "telephone_number": "818-831-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18012 HIAWATHA ST APT 272",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913263578",
            "telephone_number": "818-831-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA METROPOLITAN HOME HEALTH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GABRANG",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-831-7671"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.