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AGE HOME HEALTH CARE
NPI 1740854454
Home Health in Lake Balboa, CA

Active since May 17, 2021CLIA 05D2343365 · Waiver
16430 VANOWEN ST STE 206, LAKE BALBOA, CA 91406(747) 245-9822 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Age Home Health Care NPPES

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

AGE HOME HEALTH CARE (NPI 1740854454) is a healthcare organization registered as a home health in Lake Balboa, California and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Gurgen Sargsyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740854454
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameAGE HOME HEALTH CARE
Location Address16430 VANOWEN ST STE 206Lake Balboa, CA 91406-4729
Mailing Address16430 Vanowen St Ste 206Lake Balboa, CA 91406-4729
Phone(747) 245-9822
Organization SubpartNo
Authorized OfficialGurgen SargsyanCeo · (747) 245-9822
Enumeration DateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1740854454 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.
16430 VANOWEN ST STE 206, Lake Balboa, CA 91406
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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 05D2343365

Age Home Health Care · Van Nuys, CA
Active · expires May 4, 2028
CLIA Number05D2343365
Laboratory TypeHome Health Agency
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorJames A. Michail
Laboratory Phone(747) 264-1764
Laboratory LocationAge Home Health Care16430 Vanowen St Ste 206, Van Nuys, CA 91406
CLIA data matches this NPI record on: Name
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 Age Home Health Care's NPI number?

The NPI number for Age Home Health Care is 1740854454. It was assigned to this organization in the NPPES registry on May 17, 2021.

Where is Age Home Health Care located?

Age Home Health Care is located at 16430 Vanowen St Ste 206, Lake Balboa, CA 91406. The listed phone number is (747) 245-9822.

What is Age Home Health Care's specialty?

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

Does Age Home Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2343365) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Age Home Health Care was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.