NPIMap

Organization Active NPI

Premier Nursing, Inc.

Doing business as Bonum Home Health Services

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1275739047
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000914 Issued in CA
Legal business name
PREMIER NURSING, INC.
Doing business as
Bonum Home Health Services
Practice address
2000 W Magnolia Blvd Ste 206
Burbank, CA 91506-1751
Phone
(818) 556-3711
Fax
(818) 556-3811
NPI assigned
Jun 26, 2007
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Kristine Adimyan
Title
Ceo
Phone
(818) 556-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000914 CA Primary

Addresses

Primary practice location

2000 W Magnolia Blvd Ste 206
Burbank, CA 91506-1751

Mailing address

2000 W Magnolia Blvd Ste 206
Burbank, CA 91506-1751
Phone (818) 556-3711

Other names 1

  • Bonum Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070810000798 CA Part A Provider - Home Health Agency 1951492552 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275739047. Details of each certification follow.

Home health agency certification: CCN 059076

Legal name
PREMIER NURSING, INC.
Doing business as
BONUM HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 13, 2009
Last certification
Aug 24, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
2000 W Magnolia Blvd
Ste 206
Burbank, CA 91506-1751

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bonum Home Health ServicesCCN 059076 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Aug 13, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2017842Bonum Home Health Services2000 W Magnolia Blvd Suite 206, Burbank, CA 91506Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

2000 W Magnolia Blvd
Ste 206
Burbank, CA 91506
Phone (818) 260-9222

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Mardiros H Mihranian Individual Contracted Managing EmployeeMD; Jun 1, 2011
Roujih W Tadros Individual W-2 Managing EmployeeAd;Admin & DPCS Designee Apr 1, 2026 15%
Kristine Adimyan Individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 52%
Khoren Jeragyan Individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 24%
Corporate OfficerCfo/Secretary/Board Director/Adm Jan 1, 2024 50%
Corporate DirectorCfo/Secretary/Board Director/Adm Jan 1, 2024 50%
W-2 Managing EmployeeCfo/Secretary/Board Director Jan 1, 2024 40%
Armine Ketikyan Individual W-2 Managing EmployeeAd;DPCS May 1, 2024
Rouben Virabov Individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 24%
Corporate OfficerCeo/Board Director Jan 1, 2024 50%
Corporate DirectorCeo/Board Director Jan 1, 2024 50%
W-2 Managing EmployeeCeo/Board Director Jan 1, 2024 5%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1275739047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W MAGNOLIA BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061751",
            "telephone_number": "818-556-3711",
            "fax_number": "818-556-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MAGNOLIA BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061751",
            "telephone_number": "818-556-3711",
            "fax_number": "818-556-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "ADIMYAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-556-3711"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonum Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bonum Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.