Lusty Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LUSTY HOME HEALTH INC

Practice address

209 E Alameda Ave Ste 104
Burbank, CA 91502-2672

Phone

(747) 283-1188

NPI assigned

Mar 12, 2021

Last updated

Mar 12, 2021By 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

Davit Aghajanyan

Title

President/Ceo, Secretary

Phone

(747) 283-1188

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 1972188795. Details of each certification follow.

• CCN 757219 Home health agency · Active · Details

Home health agency certification: CCN 757219

Legal name

LUSTY HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 27, 2023

Last certification

Feb 21, 2023

Organization structure

CorporationProprietary

Incorporated

Feb 11, 2021 in CA

Enrollment address

209 E Alameda Ave
Ste 104
Burbank, CA 91502-2672

Listed as

Lusty Home Health IncCCN 757219 · All quality measures

Overall star rating

4 of 5

Ownership

-

Certified

Feb 27, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1972188795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E ALAMEDA AVE STE 104",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022672",
            "telephone_number": "747-283-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E ALAMEDA AVE STE 104",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022672",
            "telephone_number": "747-283-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSTY HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "AGHAJANYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "PRESIDENT/CEO, SECRETARY",
        "authorized_official_telephone_number": "747-283-1188"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luna Pharmacy Inc. (Luna Pharmacy)
• James Luong
• Michael Lupo, MD
• Lusine Azatian Psychiatric Nursing Practitioner, PC
• Ovsep Lusinyan, DDS
• Alex Luu, DPT
• Sarah Lux
• Luxottica of America Inc. (Lenscrafters #7464)
• Luxottica of America Inc. (Lenscrafters #00088)
• Luxottica Retail North America Inc (Target Optical #4240)

• Home Health Agency in Burbank, CA
• Providers in Burbank, 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 Mar 12, 2021; 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.