Active NPI
Palmira Development, Inc.
Doing business as Professional Home Care Service
- Home Health Agency
- Woodland Hills, CA
National Provider Identifier
1073732590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000372
- Legal business name
- PALMIRA DEVELOPMENT, INC.
- Doing business as
- Professional Home Care Service
- Practice address
- 22801 Ventura Blvd Ste 111
Woodland Hills, CA 91364-1292 - Phone
- (213) 385-1848
- Fax
- (213) 385-5418
- NPI assigned
- Apr 24, 2007
- 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
- Viktoriya Kushnir
- Title
- Ceo
- Phone
- (213) 285-1848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000372 | CA | Primary |
Addresses
Primary practice location
22801 Ventura Blvd Ste 111
Woodland Hills, CA 91364-1292
Mailing address
22801 Ventura Blvd Ste 111
Woodland Hills, CA 91364-1292
Phone (213) 385-1848
Other names 1
- Professional Home Care Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031230000421 | CA | Part A Provider - Home Health Agency | 1355249251 | Practice locations: Woodland Hills, CA |
Home health agency certification: CCN 058444
- Legal name
- PALMIRA DEVELOPMENT, INC.
- Doing business as
- PROFESSIONAL HOME CARE SERVICE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 24, 2008
- Last certification
- Feb 14, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 25, 2003 in CA
- Enrollment address
- 22801 Ventura Blvd
Ste 111
Woodland Hills, CA 91364-1292
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Professional Home Care Service
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 24, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
520 S La Fayette Park Pl
Ste 570
Los Angeles, CA 90057
Phone (213) 385-1848
14328 Victory Blvd
Van Nuys, CA 91401
22801 Ventura Blvd
Ste 111
Woodland Hills, CA 91364
Phone (213) 385-1848
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 |
|---|---|---|---|
| Rimma Oykherman | 5% Or Greater Direct Ownership Interest | Feb 11, 2015 | 50% |
| Corporate Officer | Feb 11, 2015 | 50% | |
| Corporate Director | Feb 11, 2015 | 50% | |
| W-2 Managing Employee | Feb 11, 2015 | 50% | |
| Viktoriya Kushnir | 5% Or Greater Direct Ownership Interest | Feb 11, 2015 | 50% |
| Corporate Officer | Feb 11, 2015 | 50% | |
| Corporate Director | Feb 11, 2015 | 50% | |
| W-2 Managing Employee | Feb 11, 2015 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Anatomic Pathology & Clinical Pathology Physician
- Carson, CA
- NPI 1114140233
Home health agency
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1407868433
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1073732590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22801 VENTURA BLVD STE 111",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641292",
"telephone_number": "213-385-1848",
"fax_number": "213-385-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22801 VENTURA BLVD STE 111",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641292",
"telephone_number": "213-385-1848",
"fax_number": "213-385-5418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMIRA DEVELOPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "KUSHNIR",
"authorized_official_first_name": "VIKTORIYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-285-1848"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550000372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Professional Home Care Service",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.