Prime Pro Home Health

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

PRIME PRO HOME HEALTH

Practice address

127 S Brand Blvd Ste 209
Glendale, CA 91204-1372

Phone

(818) 369-1181

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Ashot Tsaghkloryan

Title

Ceo/Cfo/Owner

Phone

(818) 369-1181

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1134714017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041372",
            "telephone_number": "818-369-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041372",
            "telephone_number": "818-369-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PRO HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "TSAGHKLORYAN",
        "authorized_official_first_name": "ASHOT",
        "authorized_official_title_or_position": "CEO/CFO/OWNER",
        "authorized_official_telephone_number": "818-369-1181"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Glendale",
            "affiliation": "N",
            "address_1": "127 S Brand Blvd Ste 209",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912041372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prime Performance Chiropractic by Karamkhodian Patrick Inc
• Prime Touch LLC
• Prime Way Links Inc
• Primemarkets LLC
• Primemed Equipments Inc
• Primemed Pharmacy Inc

• Home Health Registered Nurse in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.