Priority Home Health Care, Inc. – Home Health Agency

Key facts

NPI: 1013473883
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: PRIORITY HOME HEALTH CARE, INC.
Practice address: 10117 Sepulveda Blvd Ste 203C
Mission Hills, CA 91345-2600
Phone: (818) 574-5083
Fax: (818) 293-5907
NPI assigned: Feb 15, 2019
Organization subpart: No

Authorized official

Name: Rojan Rokni
Title: Ceo
Phone: (818) 574-5083

Medicare Care Compare: Home health agency

Listed as: Priority Home Health Care, Inc CCN 753154
Ownership: -
Certified: Jul 4, 2022
Medicare certification status: Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Home health agency certification: CCN 753154

Legal name: PRIORITY HOME HEALTH CARE, INC.
Certification status: Active
Provider type (POS): Home health agency
Participating since: Jul 4, 2022
Last certification: Jun 10, 2022
Organization structure: Corporation · Proprietary
Incorporated: Dec 20, 2018 in CA
Enrollment address: 10117 Sepulveda Blvd
Ste 203C
Mission Hills, CA 91345-2600
HHA Branch

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Name	Role	Since	Share
Rojan Rokni Individual	5% Or Greater Direct Ownership Interest Ceo	Jan 27, 2022	50%
Rojan Rokni Individual	Corporate Officer Ceo	Jan 27, 2022	50%
Tamila Ghane Individual	5% Or Greater Direct Ownership Interest Cfo	Jan 27, 2022	50%
	Corporate Officer Cfo	Jan 27, 2022	50%
	W-2 Managing Employee Cfo	Jan 27, 2022	50%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20220322001735	CA	Part a Provider - Home Health Agency	5597150995	Practice locations: Mission Hills, CA

National Provider Directory

Locations

10117 Sepulveda Blvd
Ste 203C
Mission Hills, CA 91345
Phone (818) 574-5083

18747 Sherman Way
Ste 115
Reseda, CA 91335

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes

Addresses

Primary practice location

10117 Sepulveda Blvd Ste 203C
Mission Hills, CA 91345-2600

Mailing address

10117 Sepulveda Blvd Ste 203C
Mission Hills, CA 91345-2600
Phone (818) 574-5083

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 24, 2024.

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1013473883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 SEPULVEDA BLVD STE 203C",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452600",
            "telephone_number": "818-574-5083",
            "fax_number": "818-293-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 SEPULVEDA BLVD STE 203C",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452600",
            "telephone_number": "818-574-5083",
            "fax_number": "818-293-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "ROKNI",
        "authorized_official_first_name": "ROJAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-574-5083"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

All providers in Mission Hills, CA · Home Health Agency in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.