Luna Medcare Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LUNA MEDCARE HOME HEALTH SERVICES

Practice address

7050 Owensmouth Ave Ste 206
Canoga Park, CA 91303-4206

Phone

(747) 888-3888

Fax

(747) 444-4972

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Ruben Skroyan

Title

President

Phone

(747) 888-3888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757602

Legal name

LUNA MEDCARE HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 26, 2024

Last certification

Feb 16, 2024

Organization structure

CorporationProprietary

Incorporated

Feb 15, 2021 in CA

Enrollment address

7050 Owensmouth Ave
Ste 206
Canoga Park, CA 91303-4206

Listed as

Luna Medcare Home Health ServicesCCN 757602

Ownership

-

Certified

Feb 26, 2024

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 3

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": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1679245377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 OWENSMOUTH AVE STE 206",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034206",
            "telephone_number": "818-561-9614",
            "fax_number": "747-444-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 OWENSMOUTH AVE STE 206",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034206",
            "telephone_number": "747-888-3888",
            "fax_number": "747-444-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA MEDCARE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "SKROYAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "747-888-3888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.