White Star Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WHITE STAR HOME HEALTH, INC.

Practice address

4444 W Riverside Dr Ste 204a
Burbank, CA 91505-4048

Phone

(747) 477-3471

Fax

(747) 477-3522

NPI assigned

Jun 4, 2021

Organization subpart

No

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

Authorized official

Name

Ilush Shakhbazyan

Title

Ceo

Phone

(747) 477-3471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757293

Legal name

WHITE STAR HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 28, 2023

Last certification

May 4, 2023

Organization structure

CorporationProprietary

Incorporated

Apr 23, 2021 in CA

Enrollment address

4444 W Riverside Dr
Ste 204a
Burbank, CA 91505-4048

Listed as

White Star Home Health, Inc.CCN 757293

Overall star rating

4.5 of 5

Ownership

-

Certified

Jun 28, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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 3

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

• Sandra G Avila, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1396939575

  Home health agency

  Care Compare affiliation
• Michelle Crespo, MD, MPH

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1669828067

  Home health agency

  Care Compare affiliation
• John Sy, M.D.

  • Nephrology Physician
  • Long Beach, CA
  • NPI 1639435738

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1982271490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR STE 204A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054048",
            "telephone_number": "747-477-3471",
            "fax_number": "747-477-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR STE 204A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054048",
            "telephone_number": "747-477-3471",
            "fax_number": "747-477-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE STAR HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "SHAKHBAZYAN",
        "authorized_official_first_name": "ILUSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-477-3471"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jan Whitney, MFT

• 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 Jun 4, 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.