Laglen Home Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAGLEN HOME INC

Practice address

353 E Angeleno Ave Ste M
Burbank, CA 91502-1310

Phone

(747) 333-3012

Fax

(747) 777-5570

NPI assigned

Jan 6, 2021

Last updated

May 1, 2026By 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

Khalil K Mansour

Title

Ceo

Phone

(747) 333-3012

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 1689262487. Details of each certification follow.

• CCN 757164 Home health agency · Active · Details

Home health agency certification: CCN 757164

Legal name

LAGLEN HOME INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 16, 2022

Last certification

Jun 16, 2022

Organization structure

CorporationProprietary

Enrollment address

353 E Angeleno Ave
Ste M
Burbank, CA 91502-1310

Listed as

Laglen Home Inc.CCN 757164 · All quality measures

Overall star rating

3.5 of 5

Ownership

-

Certified

Jun 16, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 6

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

• Cameo D Cozart-Chance, M.D.

  • Emergency Medicine Physician
  • West Hills, CA
  • NPI 1619903135

  Home health agency

  Care Compare affiliation
• Linda B. Enriquez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Bernardino, CA
  • NPI 1669541041

  Home health agency

  Care Compare affiliation
• David Fahim, DO

  • Family Medicine Physician
  • San Dimas, CA
  • NPI 1396481891

  Home health agency

  Care Compare affiliation
• Mohammad Reza Nahed, MD FCCP

  • Pulmonary Disease Physician
  • Mission Hills, CA
  • NPI 1043218563

  Home health agency

  Care Compare affiliation
• Daniel Rosen, MD

  • Internal Medicine Physician
  • Calabasas, CA
  • NPI 1801170519

  Home health agency

  Care Compare affiliation
• Gihan S Abdel-Samed, MD

  • Emergency Medicine Physician
  • Milton, GA
  • NPI 1306884754

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1689262487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E ANGELENO AVE STE M",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021310",
            "telephone_number": "747-333-3012",
            "fax_number": "747-777-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E ANGELENO AVE STE M",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021310",
            "telephone_number": "747-333-3012",
            "fax_number": "747-777-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGLEN HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-333-3012"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Labio Diagnostics Inc
• Laboratory of West
• Dorel Lacatus, CMT
• Kevin Laconta
• Marc L Ladenheim, M.D.
• Gennine Lagman
• Reymond Laguardia
• Rebecca Lahijani, PA-C
• Andy Lai
• Roger Chih-Hung Lai, MD

• Home Health Agency in Burbank, CA
• Providers in Burbank, 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 May 1, 2026; 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.