Organization Active NPI

Prospect Home Healthcare, LLC

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1215406905
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROSPECT HOME HEALTHCARE, LLC
Practice address
7120 Hayvenhurst Ave Ste 206
Van Nuys, CA 91406-3813
Phone
(818) 849-5428
Fax
(818) 849-5837
NPI assigned
Nov 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Shamam Harutyunyan
Title
Ceo/Cfo
Phone
(818) 849-5428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7120 Hayvenhurst Ave Ste 206
Van Nuys, CA 91406-3813

Mailing address

7120 Hayvenhurst Ave Ste 206
Van Nuys, CA 91406-3813
Phone (818) 849-5428

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1215406905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 HAYVENHURST AVE STE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063813",
            "telephone_number": "818-849-5428",
            "fax_number": "818-849-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 HAYVENHURST AVE STE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063813",
            "telephone_number": "818-849-5428",
            "fax_number": "818-849-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-25",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "SHAMAM",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "818-849-5428"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.