Primary Choice Home Health, Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMARY CHOICE HOME HEALTH, CARE INC

Practice address

5658 Sepulveda Blvd Ste 302
Van Nuys, CA 91411-2915

Phone

(818) 901-2690

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Serozh Sargsyan

Title

Ceo

Phone

(818) 901-2690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559716

Legal name

PRIMARY CHOICE HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 7, 2021

Last certification

Dec 7, 2021

Organization structure

CorporationProprietary

Enrollment address

5658 Sepulveda Blvd
Ste 302
Van Nuys, CA 91411-2915

Listed as

Primary Choice Home Health Care, Inc.CCN 559716 · All quality measures

Overall star rating

3 of 5

Ownership

-

Certified

Dec 7, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1417542473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 SEPULVEDA BLVD STE 302",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112915",
            "telephone_number": "818-901-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 SEPULVEDA BLVD STE 302",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112915",
            "telephone_number": "818-901-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CHOICE HOME HEALTH, CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "SEROZH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-901-2690"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.