Organization Active NPI

Proshield Home Health Services Inc

  • Home Health Agency
  • Canoga Park, CA
National Provider Identifier
1184345035
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROSHIELD HOME HEALTH SERVICES INC
Practice address
7316 Deering Ave Ste 201
Canoga Park, CA 91303-1503
Phone
(213) 776-3778
Fax
(213) 776-3779
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Mariam Tadevosyan
Title
Ceo
Phone
(220) 777-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7316 Deering Ave Ste 201
Canoga Park, CA 91303-1503

Mailing address

7316 Deering Ave Ste 201
Canoga Park, CA 91303-1503
Phone (213) 776-3778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241211001979 CA Part A Provider - Home Health Agency 2668908849 Practice locations: Canoga Park, CA

Home health agency certification: CCN 758131

Legal name
PROSHIELD HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 14, 2025
Last certification
Jun 25, 2025
Organization structure
CorporationProprietary
Enrollment address
7316 Deering Ave
Ste 201
Canoga Park, CA 91303-1503
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Proshield Home Health Services, IncCCN 758131
Ownership
-
Certified
Jul 14, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mariam Tadevosyan Individual 5% Or Greater Direct Ownership InterestCeo Nov 12, 2024 100%
Corporate OfficerCeo Nov 12, 2024 100%
Corporate DirectorCeo Nov 12, 2024 100%
W-2 Managing EmployeeAd; Nov 12, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1184345035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 DEERING AVE STE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031503",
            "telephone_number": "213-776-3778",
            "fax_number": "213-776-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7316 DEERING AVE STE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031503",
            "telephone_number": "213-776-3778",
            "fax_number": "213-776-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSHIELD HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "TADEVOSYAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "220-777-7770"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.