Organization Active NPI

Prime Home Health Care, Inc.

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1154878650
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIME HOME HEALTH CARE, INC.
Practice address
11755 Victory Blvd
#280
North Hollywood, CA 91606-3423
Phone
(562) 587-8371
Fax
(818) 697-4497
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Ellen Araula, RN
Title
RN Supervisor
Phone
(562) 587-8371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11755 Victory Blvd
#280
North Hollywood, CA 91606-3423

Mailing address

11755 Victory Blvd
#280
North Hollywood, CA 91606-3423
Phone (562) 587-8371

National Provider Directory

National Provider Directory

Locations

11755 Victory Blvd
Ste 280
North Hollywood, CA 91606
Phone (818) 722-3458

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1154878650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD",
            "address_2": "#280",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "562-587-8371",
            "fax_number": "818-697-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD",
            "address_2": "#280",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "562-587-8371",
            "fax_number": "818-697-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "ARAULA",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "RN SUPERVISOR",
        "authorized_official_telephone_number": "562-587-8371",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.