Organization Active NPI

Prime Choice Home Health

  • Home Health Agency
  • Glendora, CA
National Provider Identifier
1063158236
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIME CHOICE HOME HEALTH
Practice address
502 W Route 66 # 23a
Glendora, CA 91740-4343
Phone
(818) 619-7238
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hovhannes Asatryan
Title
Ceo
Phone
(818) 619-7238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

502 W Route 66 # 23a
Glendora, CA 91740-4343

Mailing address

502 W Route 66 # 23a
Glendora, CA 91740-4343
Phone (818) 619-7238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819004486 CA Part A Provider - Home Health Agency 7810496445 Practice locations: Glendora, CA

Home health agency certification: CCN 758222

Legal name
PRIME CHOICE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 6, 2025
Last certification
Oct 31, 2025
Organization structure
CorporationProprietary
Enrollment address
502 W Route 66
Ste 23a
Glendora, CA 91740-4343
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Prime Choice Home HealthCCN 758222
Ownership
-
Certified
Nov 6, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

502 W Route 66
Ste 23A
Glendora, CA 91740
Phone (818) 619-7238

502 W Route 66
#23A
Glendora, CA 91740
Phone (818) 619-7238

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Hovhannes Asatryan Individual 5% Or Greater Direct Ownership InterestCeo May 2, 2022 100%
Corporate OfficerCeo May 2, 2022
Corporate DirectorCeo May 2, 2022
W-2 Managing EmployeeCeo May 2, 2022

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1063158236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W ROUTE 66 # 23A",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404343",
            "telephone_number": "818-619-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W ROUTE 66 # 23A",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404343",
            "telephone_number": "818-619-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CHOICE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "ASATRYAN",
        "authorized_official_first_name": "HOVHANNES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-619-7238"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.