Organization Active NPI

Priority Home Health Care, Inc.

  • Home Health Agency
  • Mission Hills, CA
National Provider Identifier
1013473883
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 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
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Dec 20, 2018 in CA
Enrollment address
10117 Sepulveda Blvd
Ste 203C
Mission Hills, CA 91345-2600
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Priority Home Health Care, IncCCN 753154 · All quality measures
Ownership
-
Certified
Jul 4, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

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

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.

NameRoleSinceShare
Rojan Rokni Individual 5% Or Greater Direct Ownership InterestCeo Jan 27, 2022 50%
Corporate OfficerCeo Jan 27, 2022 50%
Tamila Ghane Individual 5% Or Greater Direct Ownership InterestCfo Jan 27, 2022 50%
Corporate OfficerCfo Jan 27, 2022 50%
W-2 Managing EmployeeCfo 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

Verify at the official NPI Registry.