Provider Demographics
NPI:1295174464
Name:LUNA HOME HEALTH, INC.
Entity type:Organization
Organization Name:LUNA HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HAGOP
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:3109052990
Authorized Official - Phone:310-905-2990
Mailing Address - Street 1:14126 SHERMAN WAY
Mailing Address - Street 2:STE 204
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-5600
Mailing Address - Country:US
Mailing Address - Phone:310-905-2990
Mailing Address - Fax:
Practice Address - Street 1:14126 SHERMAN WAY
Practice Address - Street 2:STE 204
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-5600
Practice Address - Country:US
Practice Address - Phone:310-905-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health