Organization Active NPI

Prime Home Healthcare Inc

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1174769947
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIME HOME HEALTHCARE INC
Practice address
2139 Tapo St
Suite 228
Simi Valley, CA 93063-3478
Phone
(805) 715-3655
Fax
(805) 715-3696
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Mr. Rafik Haghverdian
Title
Ceo
Phone
(805) 715-3655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2139 Tapo St
Suite 228
Simi Valley, CA 93063-3478

Mailing address

2139 Tapo St
Suite 228
Simi Valley, CA 93063-3478
Phone (805) 715-3655

National Provider Directory

National Provider Directory

Locations

2139 Tapo St
Ste 228
Simi Valley, CA 93063
Phone (805) 715-3655

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1174769947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST",
            "address_2": "SUITE 228",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633478",
            "telephone_number": "805-715-3655",
            "fax_number": "805-715-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST",
            "address_2": "SUITE 228",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633478",
            "telephone_number": "805-715-3655",
            "fax_number": "805-715-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "HAGHVERDIAN",
        "authorized_official_first_name": "RAFIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-715-3655",
        "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 Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.