Prima Care Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMA CARE HOME HEALTH INC

Practice address

2500 E Foothill Blvd Ste 508
Pasadena, CA 91107-3473

Phone

(626) 262-4402

Fax

(626) 995-1660

NPI assigned

Jun 16, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Edvard Gevorgyan

Title

Owner/Ceo

Phone

(818) 800-0144

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757481

Legal name

PRIMA CARE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 1, 2023

Last certification

Aug 1, 2023

Organization structure

CorporationProprietary

Enrollment address

2500 E Foothill Blvd
Ste 508
Pasadena, CA 91107-3473
HHA Branch

Listed as

Prima Care Home Health IncCCN 757481 · All quality measures

Overall star rating

4 of 5

Ownership

-

Certified

Aug 1, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1205404068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD STE 508",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073473",
            "telephone_number": "626-262-4402",
            "fax_number": "626-995-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD STE 508",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073473",
            "telephone_number": "626-262-4402",
            "fax_number": "626-995-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "EDVARD",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "818-800-0144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "primacarehome@gmail.com",
            "affiliation": "N",
            "address_1": "2500 E Foothill Blvd Ste 508",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911073473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.