Organization Active NPI

Premier Home Health of la

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1215680137
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIER HOME HEALTH OF LA
Practice address
4100 W Alameda Ave Ste 379
Burbank, CA 91505-4195
Phone
(818) 913-1075
Fax
(747) 271-4015
NPI assigned
Jan 31, 2022
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Argin Gevik Mikaeilian
Title
Owner
Phone
(818) 913-1075

Specialties & licenses 1

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

Addresses

Primary practice location

4100 W Alameda Ave Ste 379
Burbank, CA 91505-4195

Mailing address

4100 W Alameda Ave Ste 379
Burbank, CA 91505-4195
Phone (818) 913-1075

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BUSINESSEMAILADDRESS Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2233975Premier Home Health of la4100 W Alameda Ave Ste 379, Burbank, CA 91505Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory

Locations

4100 W Alameda Ave
Ste 379
Burbank, CA 91505
Phone (818) 533-1144

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1215680137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W ALAMEDA AVE STE 379",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054195",
            "telephone_number": "818-913-1075",
            "fax_number": "747-271-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W ALAMEDA AVE STE 379",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054195",
            "telephone_number": "818-913-1075",
            "fax_number": "747-271-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTH OF LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "MIKAEILIAN",
        "authorized_official_first_name": "ARGIN",
        "authorized_official_middle_name": "GEVIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-913-1075"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BUSINESSEMAILADDRESS",
            "affiliation": "N",
            "endpointDescription": "premierhomehealthofla@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "premierhomehealthofla@gmail.com",
            "address_1": "4100 W Alameda Ave Ste 379",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.