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MEDSTAR HOME HEALTH, INC.
NPI 1902392095
Home Health in Torrance, CA

Active since July 02, 2018CLIA 05D2272716 · Waiver
21221 S WESTERN AVE STE 140 ROOM 1608, TORRANCE, CA 90501(818) 967-5544(818) 967-5445 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, Dec 27, 2024, Jul 2, 2018 (3 updates tracked since 2018).

About Medstar Home Health, Inc. NPPES

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

MEDSTAR HOME HEALTH, INC. (NPI 1902392095) is a healthcare organization registered as a home health in Torrance, California and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through November 27, 2026 and lists Erickson Cruz Bautista, Secretary, as its authorized official.

NPPES Registry Identity

NPI1902392095
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMEDSTAR HOME HEALTH, INC.
Location Address21221 S WESTERN AVE STE 140 ROOM 1608Torrance, CA 90501-2972
Mailing Address21221 S Western Ave Ste 140 Room 1608Torrance, CA 90501-2972 · (818) 967-5544 · Fax (818) 967-5445
Phone(818) 967-5544
Fax(818) 967-5445
Organization SubpartNo
Authorized OfficialErickson Cruz BautistaSecretary · (818) 967-5544
Enumeration DateJuly 2, 2018
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1902392095 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.
21221 S WESTERN AVE STE 140 ROOM 1608, Torrance, CA 90501
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Other Identifiers 1

MedicaidPENDINGCA

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 05D2272716

Medstar Home Health, Inc · Glendale, CA
Active · expires Nov 27, 2026
CLIA Number05D2272716
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorPooya Mobasseri
Laboratory Phone(818) 967-5544
Laboratory LocationMedstar Home Health, Inc1927 W Glenoaks Blvd, Glendale, CA 91201
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 Medstar Home Health, Inc (CMS certification number 753171), from CMS Care Compare.

Medstar Home Health, Inc

Home health agency · Glendale, CA
CMS Certification Number753171
Medicare-Certified SinceApril 6, 2022
Phone(818) 967-5544

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
Cases too small to report
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

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 Medstar Home Health, Inc.'s NPI number?

The NPI number for Medstar Home Health, Inc. is 1902392095. It was assigned to this organization in the NPPES registry on July 2, 2018.

Where is Medstar Home Health, Inc. located?

Medstar Home Health, Inc. is located at 21221 S Western Ave Ste 140 Room 1608, Torrance, CA 90501. The listed phone number is (818) 967-5544.

What is Medstar Home Health, Inc.'s specialty?

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

Does Medstar Home Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2272716) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Medstar Home Health, Inc. a Medicare-certified home health agency?

Yes. Medstar Home Health, Inc is a Medicare-certified home health agency, certified since April 6, 2022.

When was this NPI record last updated?

The NPPES record for Medstar Home Health, Inc. was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.