NPIMap

Organization Active NPI

Tristar Home Health Care,Inc.

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1972161511
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRISTAR HOME HEALTH CARE,INC.
Practice address
8363 Reseda Blvd Ste 203B
Northridge, CA 91324-4673
Phone
(818) 823-3475
Fax
(818) 818-5334
NPI assigned
May 30, 2019
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Mr. Flordan Dela Rosa Enriquez
Title
Owner/Ceo
Phone
(818) 818-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

8363 Reseda Blvd Ste 203B
Northridge, CA 91324-4673

Mailing address

8363 Reseda Blvd Ste 203B
Northridge, CA 91324-4673
Phone (818) 823-3475

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200831001034 CA Part A Provider - Home Health Agency 6002233459 Practice locations: Northridge, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972161511. Details of each certification follow.

Home health agency certification: CCN 559499

Legal name
TRISTAR HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 20, 2021
Last certification
Mar 20, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
8363 Reseda Blvd
Ste 203B
Northridge, CA 91324-4673

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tristar Home Health Care, IncCCN 559499 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Mar 20, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

8363 Reseda Blvd
Ste 203B
Northridge, CA 91324
Phone (818) 818-5333

Ownership & related parties

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.

NameRoleSinceShare
Flordan Dela Rosa Enriquez Individual 5% Or Greater Direct Ownership Interest May 6, 2024 100%
Corporate DirectorCeo, Cfo, Secretary May 6, 2024 100%
W-2 Managing EmployeeCeo, Cfo, Secretary May 6, 2024 100%
Melinda Abdon-Borg Individual W-2 Managing EmployeeDCPS/Administrator Mar 6, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 12

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": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1972161511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8363 RESEDA BLVD STE 203B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244673",
            "telephone_number": "818-823-3475",
            "fax_number": "818-818-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8363 RESEDA BLVD STE 203B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244673",
            "telephone_number": "818-823-3475",
            "fax_number": "818-818-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR HOME HEALTH CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "FLORDAN",
        "authorized_official_middle_name": "DELA ROSA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "818-818-5333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.