Organization Active NPI

Preferred Home Health Services

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1184185548
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREFERRED HOME HEALTH SERVICES
Practice address
40 N Atlandena Dr Suite 219
Pasadena, CA 91107
Phone
(626) 495-0003
NPI assigned
Mar 28, 2019
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Suren Avetisyan
Title
Ceo
Phone
(626) 495-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

40 N Atlandena Dr Suite 219
Pasadena, CA 91107

Mailing address

40 N Atlandena Dr Suite 219
Pasadena, CA 91107
Phone (626) 495-0003

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

National Provider Directory

National Provider Directory

Locations

9608 Van Nuys Blvd
Ste 206
Panorama City, CA 91402
Phone (818) 830-0010

40 N Altadena Dr
Ste 219
Pasadena, CA 91107
Phone (626) 495-0003

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1184185548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N ATLANDENA DR SUITE 219",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-495-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N ATLANDENA DR SUITE 219",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-495-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "SUREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-495-0003"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.