Proud to Serve Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROUD TO SERVE HOME HEALTH CARE INC.

Doing business as

Proud to Serve Home Health Care Inc.

Practice address

14401 Gilmore St # 201a
Van Nuys, CA 91401-6231

Phone

(818) 646-0273

Fax

(818) 646-0274

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By 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

Ms. Yelena Muradyan

Title

Ceo

Phone

(818) 646-0273

Specialties & licenses 1

Addresses

Other names 1

• PROUD TO SERVE HOME HEALTH CARE INC. Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659031813. Details of each certification follow.

• CCN 757732 Home health agency · Active · Details

Home health agency certification: CCN 757732

Legal name

PROUD TO SERVE HOME HEALTH CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 23, 2024

Last certification

May 8, 2024

Organization structure

CorporationProprietary

Incorporated

Jun 24, 2021 in CA

Enrollment address

14401 Gilmore St
Ste 201a
Van Nuys, CA 91401-6231

Listed as

Proud to Serve Home Health Care Inc.CCN 757732 · All quality measures

Ownership

-

Certified

May 23, 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.

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1659031813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 GILMORE ST # 201A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016231",
            "telephone_number": "818-646-0273",
            "fax_number": "818-646-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 GILMORE ST # 201A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016231",
            "telephone_number": "818-646-0273",
            "fax_number": "818-646-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROUD TO SERVE HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "MURADYAN",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-646-0273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Proud2servehhc@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14401 Gilmore St # 201A",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914016231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PROUD TO SERVE HOME HEALTH CARE INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Dec 28, 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.