Prime Residential Senior Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRIME RESIDENTIAL SENIOR CARE

Practice address

19418 Lanark St
Reseda, CA 91335-1013

Phone

(818) 626-8553

NPI assigned

Jul 3, 2023

Organization subpart

No

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

Authorized official

Name

Sofya N/a Khechikyan

Title

Administrator

Phone

(818) 858-3553

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1063199982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19418 LANARK ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351013",
            "telephone_number": "818-626-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19418 LANARK ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351013",
            "telephone_number": "818-626-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME RESIDENTIAL SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "KHECHIKYAN",
        "authorized_official_first_name": "SOFYA",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-858-3553"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Home Health Inc
• Preferred Choice Home Health Care, Inc.
• Premier Pathology Medical Laboratories Inc.
• Premiere Hospice and Palliative Care, Inc.
• Daniel Joseph Prescott
• Latasha Talitha Proctor, LVN
• Professional Mammography Imaging, Inc.
• Professional Minds, PC
• Progress Medical Clinic Inc
• Promedic Home Health, Inc.

• Assisted Living Facility in Reseda, CA
• Providers in Reseda, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.