Organization Active NPI

Flag Home Health Care, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1942879390
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLAG HOME HEALTH CARE, INC.
Practice address
3213 De Witt Dr Ste a
Los Angeles, CA 90068-1421
Phone
(213) 652-3377
Fax
(213) 652-3378
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Marianne Azakian
Title
Ceo
Phone
(213) 652-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3213 De Witt Dr Ste a
Los Angeles, CA 90068-1421

Mailing address

3213 De Witt Dr Ste a
Los Angeles, CA 90068-1421
Phone (213) 652-3377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327001335 CA Part A Provider - Home Health Agency 7315311701 Practice locations: Los Angeles, CA

Home health agency certification: CCN 757759

Legal name
FLAG HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 12, 2024
Last certification
Aug 30, 2024
Organization structure
CorporationProprietary
Incorporated
Jun 9, 2021 in CA
Enrollment address
3213 De Witt Dr
Ste a
Los Angeles, CA 90068-1421
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Flag Home Health Care, Inc.CCN 757759 · All quality measures
Ownership
-
Certified
Sep 12, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3213 De Witt Dr
Ste A
Los Angeles, CA 90068
Phone (213) 652-3377

Ownership & related parties

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.

NameRoleSinceShare
Marianne Azakian Individual 5% Or Greater Direct Ownership InterestCeo Jun 9, 2021 100%
Corporate OfficerCeo Jun 9, 2021 100%
Corporate DirectorCeo Jun 9, 2021 100%
W-2 Managing EmployeeCeo Jun 9, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1942879390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 DE WITT DR STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681421",
            "telephone_number": "213-652-3377",
            "fax_number": "213-652-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 DE WITT DR STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681421",
            "telephone_number": "213-652-3377",
            "fax_number": "213-652-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAG HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "AZAKIAN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-652-3377"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.