FIVE STAR HOME HEALTH, INC.
NPI 1124023494
Home Health in Los Angeles, CA

Patient Care Rating: 2 out of 5 stars

NPI Status: Active since June 14, 2005

Contact Information

8616 LA TIJERA BLVD
SUITE 408
LOS ANGELES, CA
ZIP 90045
Phone: (310) 642-0026
Fax: (310) 642-9202

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Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Nursing Home Compare Information
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Home Health
CLIA Number: 05D1013472
CLIA Cert. Type: Home Health Agency
CLIA Exp. Date: 06-09-2025

About FIVE STAR HOME HEALTH, INC.

This page provides the complete NPI Profile along with additional information for Five Star Home Health, Inc., a provider established in Los Angeles, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1124023494 assigned on June 2005. The practitioner's primary taxonomy code is 251E00000X with license number 980001521 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Anthony Nieves (Owner)

NPI: 1124023494
Provider Name: FIVE STAR HOME HEALTH, INC.
Entity Type: Organization
Location Address: 8616 LA TIJERA BLVD SUITE 408 LOS ANGELES, CA 90045
Location Phone: (310) 642-0026
Location Fax: (310) 642-9202
Mailing Address: 8616 LA TIJERA BLVD SUITE 408 LOS ANGELES, CA 90045
Mailing Phone: (310) 642-0026
Mailing Fax: (310) 642-9202
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-14-2005
Last Update Date: 02-27-2013
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According to the Home Health Compare program data, Five Star Home Health, Inc. has a below average overall quality rating based on the provider's performance on seven separate quality measures including: timely initiation of care, improvement in ambulation, bed transferring, bathing, shortness of breath, management of oral medications and relapse in acute care hospitalizations. The Quality of Patient Star Rating for this provider is 2 out of 5 and summarizes some of the current health care provider performance measures.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Home Health
Taxonomy Code: 251E00000X
Type: Agencies
License No.: 980001521
License State: CA
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. ANTHONY NIEVES
Authorized Official Title: OWNER
Authorized Official Phone: (310) 642-0026

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
058215	MEDICARE PIN (08)	CA
HHA08215F	MEDICAID (05)	CA

Nursing Home Compare Information

The Centers for Medicare and Medicaid Services publishes Home Health Compare quality of care data to provide consumers an easy way to compare "Medicare-certified" home health agencies throughout the nation. "Medicare-certified" home health agencies are approved by Medicare and meet certain federal health and safety requirements.

The Home Health Compare information helps consumers learn how well home health agencies care for their patients, how often each agency used best practices when caring for its patients and what patients said about their recent home health care experience.

Quality of Patient Care Rating Quality of Patient Care Rating The quality of patient care star rating summarizes 8 of the 23 quality measures reported on Home Health Compare. It provides a single indicator of an agency's performance compared to other agencies.	- 2 out of 5 stars - FIVE STAR HOME HEALTH, INC performance was below the average of other agencies on selected measures.
Ownership Type Ownership Type Home health agencies can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities. The type of ownership may affect agency resources and how services are organized. Quality can vary in home health agencies within each of the different types of ownership. Each agency needs to be judged on its own merits.	Proprietary
Offers Nursing Care Offers Nursing Care? The home health agency offers care given or supervised by registered nurses. Nurses provide direct care; manage, observe, and evaluate a patient’s care; and teach the patient and his or her family caregiver. Examples include: giving IV drugs, shots, or tube feedings; changing dressings; and teaching about diabetes care. Any service that could be done safely by a non-medical person (or by yourself) without the supervision of a nurse isn’t skilled nursing care. Medicare covers home health skilled nursing care that's part time and intermittent.	Yes
Offers Physical Therapy Offers Physical Therapy? The home health agency offers treatment of injury and disease by mechanical means, like heat, light, exercise, and massage.	Yes
Offers Occupational Therapy Offers Occupational Therapy? The home health agency offers services given to help you return to usual activities (like bathing, preparing meals, and housekeeping) after illness either on an inpatient or outpatient basis.	Yes
Offers Speech Therapy Offers Speech Therapy? The home health agency offers services to assist with problems involving speech, language, and swallowing. Communication problems can be present at birth or develop after an injury or illness, like a stroke.	Yes
Offers Medical Social Services Medical Social Services? The home health agency offers services to help with social and emotional concerns related to your illness. This might include counseling or help in finding resources in your community.	Yes
Offers Home Health Aide Offers Home Health Aide? The home health agency offers part time or intermittent services to help with daily living activities.	Yes
Medicare Certification Date	10-28-2003
Number of episodes used to calculate how much Medicare spends at this agency Number of episodes used to calculate how much Medicare spends at this agency Number of episodes of care used to calculate how much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally.	375
How often patients got better at walking or moving around? How often patients got better at walking or moving around? This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to ambulate.	82.2%
How often patients got better at getting in and out of bed? How often patients got better at getting in and out of bed? This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to get in and out of bed.	58.7%
How often patients got better at bathing? How often patients got better at bathing? This quality measure shows the percentage of home health quality episodes during which the patient got better at bathing self.	65.5%
How often patients' breathing improved? How often patients' breathing improved? This quality measure shows the percentage of home health quality episodes during which the patient became less short of breath or dyspneic.	63.5%
How often the home health team began their patients' care in a timely manner? How often the home health team began their patients' care in a timely manner? This quality measure shows the percentage of episodes of care initiated or resumed on the date the physician ordered, or within within 24-48 hours of referral.	81.2%
How often patients got better at taking their drugs correctly by mouth? How often patients got better at taking their drugs correctly by mouth? This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to take their medicines correctly (by mouth).	61.5%
How often the home health team made sure that their patients have received a flu shot for the current flu season? How often the home health team made sure that their patients have received a flu shot for the current flu season? This quality measure shows the percentage of home health quality episodes during which patients received the influenza immunization for the current flu season.	90.7%
How often physician-recommended actions to address medication issues were completed timely? How often physician-recommended actions to address medication issues were completed timely? This quality measure shows the percentage of home health quality episodes forwhich a drug regimen review was conducted at the start of care or resumption of care and completion of recommended actions from timely follow-up with a physician occurred each time potential clinically significant medication issues were identified throughout that quality episode.	84.1%
Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment How often a patient has an admission and discharge functional assessment and an admission care plan that addresses function? This measure displays hows how often the home health team completed a functional assessment for patients at both admission and discharge, and developed a functional care plan at admission.	100%
How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally? How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally? This measure evaluates Home Health resource use relative to the resource use of the national median of all Home Health providers. Specifically, the measure assesses the Medicare spending performed by the Home Health provider and other healthcare providers during an MSPB-PAC episode.	0.85%

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 05D1013472
Facility Type: Home Health Agency
Certificate Effective Date: June 10, 2023
Certificate Expiration Date: June 09, 2025
Laboratory Director: DR. AMIN KHORSANDI
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Five Star Home Health, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	2	4	0	2	3	4	9	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	4	4	0	2	6	4	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 2 + 6 + 4 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1124023494 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1730114257	W. BENTON BOONE A PROFESSIONAL CORPORATION Organization	Specialist	8616 LA TIJERA BLVD SUITE 102 LOS ANGELES, CA 90045 (310) 673-2020
1992846083	MS. MICHIYO OKANO LCSW Individual	Social Worker (Clinical)	8616 LA TIJERA BLVD #200 LOS ANGELES, CA 90045 (310) 337-1550
1629193289	MS. YUKI URASHIMA Individual	Marriage & Family Therapist	8616 LA TIJERA BLVD STE 200 LOS ANGELES, CA 90045 (310) 337-1550
1972628683	YOONJIN LEE MSW Individual	Social Worker (Clinical)	8616 LA TIJERA BLVD STE #200 LOS ANGELES, CA 90045 (310) 337-1550
1699891689	MISS ENEYDA REYNOSO Individual	Marriage & Family Therapist	8616 LA TIJERA BLVD STE. 200 LOS ANGELES, CA 90045 (310) 337-1886
1851551568	SOYEON KIM Individual	Marriage & Family Therapist	8616 LA TIJERA BLVD 200 LOS ANGELES, CA 90045 (310) 337-1550
1780990663	SOOHYUN OH Individual	Counselor (Mental Health)	8616 LA TIJERA BLVD SUITE 200 LOS ANGELES, CA 90045 (310) 337-1550
1831472901	CHRISTOPHER VAIMILI Individual	Case Manager/Care Coordinator	8616 LA TIJERA BLVD SUITE 200 LOS ANGELES, CA 90045 (310) 337-1550
1053629337	MISS MONICA HOUR Individual	Counselor (Mental Health)	8616 LA TIJERA BLVD SUITE 200 LOS ANGELES, CA 90045 (310) 337-1550
1033586698	LIFE UNCOMMON, LLC Organization	Clinic/Center (Multi-Specialty)	8616 LA TIJERA BLVD SUITE 404 LOS ANGELES, CA 90045 (310) 356-9951
1750749784	8616 GROUP, LLC Organization	Marriage & Family Therapist	8616 LA TIJERA BLVD SUITE 404 LOS ANGELES, CA 90045 (310) 982-6062
1831634815	TRILOGY EYE MEDICAL GROUP, INC. Organization	Specialist	8616 LA TIJERA BLVD STE 102 LOS ANGELES, CA 90045 (310) 673-2020
1609915545	DARIN BENNETT M.A. Individual	Marriage & Family Therapist	8616 LA TIJERA BLVD #404 LOS ANGELES, CA 90045 (310) 982-6062
1730382250	MS. LISA SUZANNE KAPLAN MFT Individual	Marriage & Family Therapist	8616 LA TIJERA BLVD SUITE 404 LOS ANGELES, CA 90045 (310) 982-6063
1083149520	TINA GAIL HANSEN PHILLIPS LMFT Individual	Marriage & Family Therapist	8616 LA TIJERA BLVD 200 LOS ANGELES, CA 90045 (310) 337-2805
1063987337	DRAGO CHARLES BARIC Individual	Community Health Worker	8616 LA TIJERA BLVD LOS ANGELES, CA 90045 (310) 337-1550
1679974885	MS. AYA TATEISHI LCSW Individual	Social Worker (Clinical)	8616 LA TIJERA BLVD SUITE 200 LOS ANGELES, CA 90045 (310) 337-1550
1487140653	LIZETH VILLEGAS Individual	Rehabilitation Practitioner	8616 LA TIJERA BLVD LOS ANGELES, CA 90045 (310) 337-1550
1932531738	ALMA ACEVEZ Individual	Marriage & Family Therapist	8616 LA TIJERA BLVD LOS ANGELES, CA 90045 (310) 337-1550
1639291073	SPECIAL SERVICE FOR GROUPS, INC. Organization	Clinic/Center (Mental Health (Including Community Mental Health Center))	8616 LA TIJERA BLVD SUITE 200 LOS ANGELES, CA 90045 (310) 337-1550

Frequently Asked Questions

What is FIVE STAR HOME HEALTH, INC. NPI number?

The NPI number assigned to this healthcare provider is 1124023494, enumerated in the NPI registry as an "organization" on June 14, 2005

Where is the provider located?

The provider is located at 8616 La Tijera Blvd Suite 408 Los Angeles, Ca 90045 and the phone number is (310) 642-0026

What is the provider specialty code?

This medical organization specializes in Home Health with taxonomy code 251E00000X

What insurance does FIVE STAR HOME HEALTH, INC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

What is FIVE STAR HOME HEALTH, INC. CLIA number?

The provider's CLIA number is 05D1013472 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

This NPI record was last updated on June 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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