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RED STAR HOME HEALTH CARE, INC
NPI 1104490283
Home Health in Los Angeles, CA

Active since May 13, 2021CLIA 05D2304156 · Waiver
3171 LOS FELIZ BLVD STE 312, LOS ANGELES, CA 90039(323) 741-0056(323) 544-0966 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, May 13, 2021 (2 updates tracked since 2021).

About Red Star Home Health Care, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED STAR HOME HEALTH CARE, INC (NPI 1104490283) is a healthcare organization registered as a home health in Los Angeles, California and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Gevorg Panadzhyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104490283
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameRED STAR HOME HEALTH CARE, INC
Location Address3171 LOS FELIZ BLVD STE 312Los Angeles, CA 90039-1537
Mailing Address3171 Los Feliz Blvd Ste 312Los Angeles, CA 90039-1537 · (323) 741-0056 · Fax (323) 544-0966
Phone(323) 741-0056
Fax(323) 544-0966
Organization SubpartNo
Authorized OfficialGevorg PanadzhyanCeo · (323) 741-0056
Enumeration DateMay 13, 2021
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1104490283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3171 LOS FELIZ BLVD STE 312, Los Angeles, CA 90039
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2304156

Red Star Home Health Care, Inc · Los Angeles, CA
Active · expires May 7, 2028
CLIA Number05D2304156
Laboratory TypeHome Health Agency
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorDaisy I. Bautista
Laboratory Phone(323) 741-0056
Laboratory LocationRed Star Home Health Care, Inc3171 Los Feliz Blvd, Ste 310, Los Angeles, CA 90039
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Red Star Home Health Care, Inc (CMS certification number 757338), from CMS Care Compare.

Red Star Home Health Care, Inc

Home health agency · Los Angeles, CA
CMS Certification Number757338
Medicare-Certified SinceAugust 8, 2023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red Star Home Health Care, Inc's NPI number?

The NPI number for Red Star Home Health Care, Inc is 1104490283. It was assigned to this organization in the NPPES registry on May 13, 2021.

Where is Red Star Home Health Care, Inc located?

Red Star Home Health Care, Inc is located at 3171 Los Feliz Blvd Ste 312, Los Angeles, CA 90039. The listed phone number is (323) 741-0056.

What is Red Star Home Health Care, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Red Star Home Health Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2304156) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Red Star Home Health Care, Inc a Medicare-certified home health agency?

Yes. Red Star Home Health Care, Inc is a Medicare-certified home health agency, certified since August 8, 2023.

When was this NPI record last updated?

The NPPES record for Red Star Home Health Care, Inc was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.