Organization Active NPI

Star Care Home Health, Inc.

  • Home Health Agency
  • Mission Hills, CA
National Provider Identifier
1750336160
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001589 Issued in CA
Legal business name
STAR CARE HOME HEALTH, INC.
Practice address
10117 Sepulveda Blvd
Suite 203
Mission Hills, CA 91345-2600
Phone
(818) 894-5201
Fax
(818) 894-5271
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Erlinda Fisher, RN
Title
Administrator/DPCS
Phone
(818) 894-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001589 CA Primary

Addresses

Primary practice location

10117 Sepulveda Blvd
Suite 203
Mission Hills, CA 91345-2600

Mailing address

10117 Sepulveda Blvd
Suite 203
Mission Hills, CA 91345-2600
Phone (818) 894-5201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030708000052 CA Part A Provider - Home Health Agency 2961312814 Practice locations: Granada Hills, CA

Home health agency certification: CCN 058322

Legal name
STAR CARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 18, 2006
Last certification
Apr 29, 2021
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Incorporated
May 23, 2003 in CA
Enrollment address
10660 White Oak Ave
Ste 218
Granada Hills, CA 91344-5941
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Star Care Home Health, IncCCN 058322 · All quality measures
Ownership
Non-Profit
Certified
Jan 18, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1016715Star Care Home Health Inc10660 White Oak Ave Suite 218, Granada Hills, CA 91344Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory

Locations

10660 White Oak Ave
Ste 218
Granada Hills, CA 91344
Phone (818) 894-5201

4000 Long Beach Blvd
#215
Long Beach, CA 90807
Phone (562) 637-3173

10117 Sepulveda Blvd
Ste 203
Mission Hills, CA 91345
Phone (818) 894-5201

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher N Hage Individual Corporate DirectorMedical Director/Board Member Mar 2, 2018
Golgaz Tariveran Individual 5% Or Greater Direct Ownership InterestOwner Sep 8, 2015 15%
Corporate OfficerBoard Member Sep 8, 2015 15%
Operational/Managerial ControlCfo Sep 8, 2015 15%
Jeffrey F Hermoso Individual Operational/Managerial ControlAdministrator/DPCS Apr 27, 2022
Paola Marie Rodriguez Individual Operational/Managerial ControlAdm RN Designee Sep 1, 2017
Sherly Vardeh Individual 5% Or Greater Direct Ownership InterestOwner Sep 8, 2015 85%
Corporate OfficerCeo, Cfo, Board Member Sep 8, 2015 85%
Operational/Managerial ControlCeo Sep 8, 2015 85%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1750336160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 SEPULVEDA BLVD",
            "address_2": "SUITE 203",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452600",
            "telephone_number": "818-894-5201",
            "fax_number": "818-894-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 SEPULVEDA BLVD",
            "address_2": "SUITE 203",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452600",
            "telephone_number": "818-894-5201",
            "fax_number": "818-894-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ERLINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR/DPCS",
        "authorized_official_telephone_number": "818-894-5201",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.