NPIMap

Organization Active NPI

Pro Nursing Home Care, Inc.

  • Home Health Agency
  • Bakersfield, CA
National Provider Identifier
1295182830
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRO NURSING HOME CARE, INC.
Practice address
2201 Mount Vernon Ave Ste 110
Bakersfield, CA 93306-3312
Phone
(661) 840-8721
Fax
(661) 885-6983
NPI assigned
May 23, 2016
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Jerry Rulsky
Title
Ceo
Phone
(661) 840-8721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2201 Mount Vernon Ave Ste 110
Bakersfield, CA 93306-3312

Mailing address

2201 Mount Vernon Ave Ste 110
Bakersfield, CA 93306-3312
Phone (661) 840-8721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160928000000 CA Part A Provider - Home Health Agency 1557658069 Practice locations: Bakersfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295182830. Details of each certification follow.

Home health agency certification: CCN 559062

Legal name
PRO NURSING HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 25, 2019
Last certification
Oct 25, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
2201 Mount Vernon Ave
Ste 110
Bakersfield, CA 93306-3312

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pro Nursing Home Care, IncCCN 559062 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 25, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2201 Mount Vernon Ave
Ste 110
Bakersfield, CA 93306
Phone (661) 840-8721

329 Real Rd
Ste A
Bakersfield, CA 93309
Phone (661) 327-7107

Ownership & related parties

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.

NameRoleSinceShare
Ellada Shigin Individual Corporate DirectorDirector of Patient Care Service Aug 8, 2022
W-2 Managing EmployeeDirector of Patient Care Service Aug 8, 2022
Rush Melliti Individual 5% Or Greater Direct Ownership InterestOwner Jun 8, 2016 50%
Corporate OfficerCfo Jun 8, 2016 50%
Corporate DirectorCfo Jun 8, 2016 50%
W-2 Managing EmployeeAdministrator Jun 8, 2016 100%
Asya Keshishyan Individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 50%
Corporate OfficerCeo Jan 1, 2025 50%
Corporate DirectorCeo Jan 1, 2025 50%
W-2 Managing Employee Jan 1, 2025 50%

Practitioners & affiliated clinicians

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1295182830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MOUNT VERNON AVE STE 110",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933063312",
            "telephone_number": "661-840-8721",
            "fax_number": "661-885-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MOUNT VERNON AVE STE 110",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933063312",
            "telephone_number": "661-840-8721",
            "fax_number": "661-885-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO NURSING HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "RULSKY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-840-8721"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.