Organization Active NPI

Primetime Home Health Services

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1225610751
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIMETIME HOME HEALTH SERVICES
Practice address
1522 W Glenoaks Blvd Unit F
Glendale, CA 91201-1913
Phone
(818) 433-2274
NPI assigned
Apr 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Edit Madatyan
Title
Ceo
Phone
(818) 433-2274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1522 W Glenoaks Blvd Unit F
Glendale, CA 91201-1913

Mailing address

1522 W Glenoaks Blvd Unit F
Glendale, CA 91201-1913
Phone (818) 433-2274

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pacifichospiceserv@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

1522 W Glenoaks Blvd
Unit F
Glendale, CA 91201
Phone (818) 433-2274

13701 Riverside Dr
Ste 613
Sherman Oaks, CA 91423

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1225610751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 W GLENOAKS BLVD UNIT F",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011913",
            "telephone_number": "818-433-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 W GLENOAKS BLVD UNIT F",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011913",
            "telephone_number": "818-433-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMETIME HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "MADATYAN",
        "authorized_official_first_name": "EDIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-433-2274"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pacifichospiceserv@gmail.com",
            "affiliation": "N",
            "endpointDescription": "pacifichospiceserv@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1522 W Glenoaks Blvd Unit F",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912011913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.