Active NPI
La Metropolitan Home Health Incorporated
- Home Health Agency
- Northridge, CA
National Provider Identifier
1659321925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
-
- Home Health Agency
- Artesia, CA
- NPI 1730352378
O20070110000624
Care Compare: Home health agency
Medicare Care Compare- Listed as
- L a Metropolitan Home Health, Incorporation
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 21, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Allan S Flores | 5% Or Greater Direct Ownership Interest | May 1, 2009 | 100% |
| Corporate Officer | 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.
-
- Internal Medicine Physician
- Anaheim, CA
- NPI 1083883904
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.