Hollywood Premium Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOLLYWOOD PREMIUM HOME CARE, INC.

Practice address

1110 N Western Ave Ste 109
Los Angeles, CA 90029-1087

Phone

(323) 484-4488

Fax

(323) 978-5551

NPI assigned

May 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Artyom Tumanyan

Title

Ceo/Owner

Phone

(747) 225-2226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757807

Legal name

HOLLYWOOD PREMIUM HOME CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 24, 2024

Last certification

Aug 2, 2024

Organization structure

CorporationProprietary

Enrollment address

1110 N Western Ave
Ste 109
Los Angeles, CA 90029-1087

Listed as

Hollywood Premium Home Care, Inc.CCN 757807

Ownership

-

Certified

Jul 24, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 2

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

• Jack Shenouda, M.D.

  • Hospitalist Physician
  • Oxnard, CA
  • NPI 1023247822

  Home health agency

  Care Compare affiliation
• Monica P Zucca, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Modesto, CA
  • NPI 1386608180

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1295319929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 VENTURA BLVD",
            "address_2": "SUITE 309",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "747-225-2226",
            "fax_number": "323-978-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N WESTERN AVE STE 109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291087",
            "telephone_number": "323-484-4488",
            "fax_number": "323-978-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15840 Ventura Blvd",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "91436",
            "country_code": "US",
            "telephone_number": "747-225-2226",
            "fax_number": "323-978-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLLYWOOD PREMIUM HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "TUMANYAN",
        "authorized_official_first_name": "ARTYOM",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "747-225-2226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollywood Mental Health Collaborative, Inc
• Hollywood Optometrist
• Hollywood Optometrist
• Hollywood Pathology Medical Group
• Hollywood Physical Therapy
• Hollywood Presbyterian Emergency Medical Associates, Inc.
• Hollywood Prime Care Medical Center
• Hollywood Psychotherapy and Counseling Center, Inc
• Hollywood Psychotherapy Inc
• Hollywood Royale Garden Assisted Living, LLC.

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.