Prosper Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

163WHO200X Issued in CA

Legal business name

PROSPER HOME HEALTH CARE, INC.

Practice address

1589 W 9TH St
Suite F
Upland, CA 91786-5666

Phone

(909) 243-1313

Fax

(909) 363-9313

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martiros Martirosyan

Title

President

Phone

(909) 243-1313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609302629. Details of each certification follow.

• CCN 553179 Home health agency · Active · Details

Home health agency certification: CCN 553179

Legal name

PROSPER HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 21, 2018

Last certification

Dec 21, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

409 S Glendale Ave
Ste 201
Glendale, CA 91205-2292

Listed as

Prosper Home Health Care, IncCCN 553179 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Dec 21, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Affiliated clinicians 4

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

• Philip H Lee, D.O.

  • General Practice Physician
  • Burbank, CA
  • NPI 1992981161

  Home health agency

  Care Compare affiliation
• Leslie Diana Paul, M.D.

  • Internal Medicine Physician
  • Culver City, CA
  • NPI 1366509499

  Home health agency

  Care Compare affiliation
• Hermilito L Villar

  • Internal Medicine Physician
  • Panorama City, CA
  • NPI 1710946009

  Home health agency

  Care Compare affiliation
• Evelyn Ganaden Basco, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1669531679

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1609302629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 W 9TH ST",
            "address_2": "SUITE F",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865666",
            "telephone_number": "909-243-1313",
            "fax_number": "909-363-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 W 9TH ST",
            "address_2": "SUITE F",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865666",
            "telephone_number": "909-243-1313",
            "fax_number": "909-363-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MARTIROSYAN",
        "authorized_official_first_name": "MARTIROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-243-1313"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "163WHO200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prohealth Partners a Medical Group Inc
• Prohealth Partners a Medical Group Inc
• Prohealth Partners a Medical Group Inc
• Prompt Healthcare Inc a Medical Corporation
• Prompt Medical Service Inc
• Prosperity Senior Living, LLC
• Prosperous Medical Billing and Consulting, LLC
• Britni Lynn, Nicole Proulx
• Robert E. Proulx, MFT
• Julia Mari Provens

• Home Health Agency in Upland, CA
• Providers in Upland, 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 May 11, 2017; 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.