Organization Active NPI

Pro Health Home Services

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1093537524
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRO HEALTH HOME SERVICES
Practice address
12340 Santa Monica Blvd Ste 227a
Los Angeles, CA 90025-2594
Phone
(310) 989-4027
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Mr. Ben Solomonik
Title
Ceo
Phone
(310) 989-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12340 Santa Monica Blvd Ste 227a
Los Angeles, CA 90025-2594

Mailing address

12340 Santa Monica Blvd Ste 227a
Los Angeles, CA 90025-2594
Phone (310) 989-4027

National Provider Directory

National Provider Directory

Locations

12340 Santa Monica Blvd
Ste 227A
Los Angeles, CA 90025
Phone (310) 989-4027

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1093537524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD STE 227A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252594",
            "telephone_number": "310-989-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD STE 227A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252594",
            "telephone_number": "310-989-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "SOLOMONIK",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-989-4027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.