Active NPI
Priority Home Health Care, Inc.
- Home Health Agency
- Mission Hills, CA
National Provider Identifier
1013473883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
- Last updated
- Apr 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rojan Rokni
- Title
- Ceo
- Phone
- (818) 574-5083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220322001735 | CA | Part A Provider - Home Health Agency | 5597150995 | Practice locations: Mission Hills, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013473883. Details of each certification follow.
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
- Incorporated
- Dec 20, 2018 in CA
- Enrollment address
- 10117 Sepulveda Blvd
Ste 203C
Mission Hills, CA 91345-2600
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Priority Home Health Care, Inc
- Ownership
- -
- Certified
- Jul 4, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
10117 Sepulveda Blvd
Ste 203C
Mission Hills, CA 91345
Phone (818) 574-5083
18747 Sherman Way
Ste 115
Reseda, CA 91335
Ownership & related parties
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 | 5% Or Greater Direct Ownership Interest | Jan 27, 2022 | 50% |
| Corporate Officer | Jan 27, 2022 | 50% | |
| Tamila Ghane | 5% Or Greater Direct Ownership Interest | Jan 27, 2022 | 50% |
| Corporate Officer | Jan 27, 2022 | 50% | |
| W-2 Managing Employee | Jan 27, 2022 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.