Organization Active NPI

First Priority Home Health, Inc.

Doing business as Moreno Home Health Services

  • Home Health Agency
  • Moreno Valley, CA
National Provider Identifier
1477984375
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIRST PRIORITY HOME HEALTH, INC.
Doing business as
Moreno Home Health Services
Practice address
12540 Heacock St
Suite 1
Moreno Valley, CA 92553-3033
Phone
(951) 251-5010
Fax
(951) 251-5311
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Garri Gevorkyan
Title
Ceo
Phone
(951) 251-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12540 Heacock St
Suite 1
Moreno Valley, CA 92553-3033

Mailing address

12540 Heacock St
Suite 1
Moreno Valley, CA 92553-3033
Phone (951) 251-5010

Other names 1

  • MORENO 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
O20140328000357 CA Part A Provider - Home Health Agency 4789815184 Practice locations: Tujunga, CA

Home health agency certification: CCN 059694

Legal name
FIRST PRIORITY HOME HEALTH, INC
Doing business as
MORENO HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 2, 2015
Last certification
Sep 28, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 23, 2012 in CA
Enrollment address
6851 Foothill Blvd
Tujunga, CA 91042-2710

Care Compare: Home health agency

Medicare Care Compare
Listed as
Moreno Home Health ServicesCCN 059694 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 2, 2015
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

12540 Heacock St
Ste 1
Moreno Valley, CA 92553
Phone (951) 251-5010

6851 Foothill Blvd
Tujunga, CA 91042
Phone (951) 251-5010

Ownership & related parties

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.

NameRoleSinceShare
Nelson Patatanyan Individual 5% Or Greater Direct Ownership Interest Dec 30, 2019 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member Feb 6, 2017 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member Feb 6, 2017 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member Feb 6, 2017 100%

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1477984375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12540 HEACOCK ST",
            "address_2": "SUITE 1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533033",
            "telephone_number": "951-251-5010",
            "fax_number": "951-251-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12540 HEACOCK ST",
            "address_2": "SUITE 1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533033",
            "telephone_number": "951-251-5010",
            "fax_number": "951-251-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PRIORITY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "GEVORKYAN",
        "authorized_official_first_name": "GARRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-251-5010"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORENO HOME HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.