Silver Star Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SILVER STAR HOME HEALTH, INC

Practice address

3171 Los Feliz Blvd Ste 200 E & F
Los Angeles, CA 90039-1536

Phone

(323) 522-6971

Fax

(323) 522-6972

NPI assigned

Dec 23, 2009

Last updated

Jun 28, 2024By 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

Jonathan Santos, RN

Title

Ceo

Phone

(323) 522-6971

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 1811226707. Details of each certification follow.

• CCN 059457 Home health agency · Active · Details

Home health agency certification: CCN 059457

Legal name

SILVER STAR HOME HEALTH, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 8, 2012

Last certification

Dec 13, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 24, 2009 in CA

Enrollment address

3171 Los Feliz Blvd
Ste 200 E & F
Los Angeles, CA 90039-1536

Listed as

Silver Star Home Health, IncCCN 059457 · All quality measures

Ownership

Proprietary

Certified

Aug 8, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 1

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

• Steven Macina, DO

  • Psychiatry Physician
  • Huntington Beach, CA
  • NPI 1124130471

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1811226707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD STE 200 F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391536",
            "telephone_number": "323-522-6971",
            "fax_number": "323-522-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD STE 200 E & F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391536",
            "telephone_number": "323-522-6971",
            "fax_number": "323-522-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STAR HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-522-6971",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bradley Silver

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 28, 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.