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BLUE MOON HOME HEALTH, INC.
NPI 1346711686
Home Health in Pasadena, CA

Active since December 16, 2018CLIA 05D2318486 · Waiver
260 S. LOS ROBLES AVE., SUITE 114, PASADENA, CA 91101(626) 817-9040(626) 817-9139 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Dec 16, 2018 (2 updates tracked since 2018).

About Blue Moon Home Health, Inc. NPPES

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

BLUE MOON HOME HEALTH, INC. (NPI 1346711686) is a healthcare organization registered as a home health in Pasadena, California and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Yervand Yegoyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346711686
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBLUE MOON HOME HEALTH. INC.
Location Address260 S. LOS ROBLES AVE., SUITE 114Pasadena, CA 91101-2869
Mailing Address260 S. Los Robles Ave., Suite 114Pasadena, CA 91101-2869 · (626) 817-9040 · Fax (626) 817-9139
Phone(626) 817-9040
Fax(626) 817-9139
Organization SubpartNo
Authorized OfficialYervand YegoyanCeo · (626) 817-9040
Enumeration DateDecember 16, 2018
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1346711686 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.
260 S. LOS ROBLES AVE., Pasadena, CA 91101
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Other Names 1

Doing Business AsBlue Moon Home Health, Inc.

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 05D2318486

Blue Moon Home Health, Inc · Pasadena, CA
Active · expires Feb 10, 2027
CLIA Number05D2318486
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorLarry Pobre Viligia
Laboratory Phone(626) 817-9040
Laboratory LocationBlue Moon Home Health, Inc260 S Los Robles Ave Ste 114, Pasadena, CA 91101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Blue Moon Home Health. Inc.'s NPI number?

The NPI number for Blue Moon Home Health. Inc. is 1346711686. It was assigned to this organization in the NPPES registry on December 16, 2018. The provider is doing business as Blue Moon Home Health, Inc..

Where is Blue Moon Home Health. Inc. located?

Blue Moon Home Health. Inc. is located at 260 S. Los Robles Ave. Suite 114, Pasadena, CA 91101. The listed phone number is (626) 817-9040.

What is Blue Moon Home Health. Inc.'s specialty?

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

Does Blue Moon Home Health. Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2318486) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Moon Home Health. Inc. was last updated on June 20, 2023. 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.