Purex Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PUREX HOME HEALTH SERVICES INC

Practice address

11755 Victory Blvd Ste 104
North Hollywood, CA 91606-3462

Phone

(818) 806-9060

Fax

(818) 806-9034

NPI assigned

Jul 16, 2021

Organization subpart

No

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

Authorized official

Name

Ruzan Asatryan

Title

Ceo

Phone

(818) 806-9060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757643

Legal name

PUREX HOME HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 22, 2024

Last certification

May 22, 2024

Organization structure

CorporationProprietary

Enrollment address

11755 Victory Blvd
Ste 104
North Hollywood, CA 91606-3462

Listed as

Purex Home Health Services IncCCN 757643

Ownership

-

Certified

May 22, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1487226502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 104",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063462",
            "telephone_number": "818-806-9060",
            "fax_number": "818-806-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 104",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063462",
            "telephone_number": "818-806-9060",
            "fax_number": "818-806-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREX HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "ASATRYAN",
        "authorized_official_first_name": "RUZAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-806-9060"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, 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 Jun 13, 2023; 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.