Active NPI
Admiral Home Health Care, Inc.
- Home Health Agency
- Lakewood, CA
National Provider Identifier
1891732921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980000974
- Legal business name
- ADMIRAL HOME HEALTH CARE, INC.
- Practice address
- 4010 Watson Plaza Drive
Suite 150
Lakewood, CA 90712-4042 - Phone
- (562) 421-0777
- Fax
- (562) 421-0770
- NPI assigned
- May 31, 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
- Mr. Kamran Jahangard Mahboob
- Title
- Ceo
- Phone
- (818) 652-8297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980000974 | CA | Primary |
Addresses
Primary practice location
4010 Watson Plaza Drive
Suite 150
Lakewood, CA 90712-4042
Mailing address
4010 Watson Plaza Drive
Suite 150
Lakewood, CA 90712-4047
Phone (562) 421-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA57635F | Medicaid | CA |
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Admiral Home Health, Inc
- Ownership
- Proprietary
- Certified
- Nov 14, 1995
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
4010 Watson Plaza Dr
Ste 150
Lakewood, CA 90712
Phone (562) 421-0777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700438400000",
"number": "1891732921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 WATSON PLAZA DRIVE",
"address_2": "SUITE 150",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907124047",
"telephone_number": "562-421-0777",
"fax_number": "562-421-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 WATSON PLAZA DRIVE",
"address_2": "SUITE 150",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907124042",
"telephone_number": "562-421-0777",
"fax_number": "562-421-0770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADMIRAL HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2023-11-20",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "MAHBOOB",
"authorized_official_first_name": "KAMRAN",
"authorized_official_middle_name": "JAHANGARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-652-8297",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980000974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA57635F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.