NPIMap

Organization Active NPI

Professional Nursing, Inc.

  • Home Health Agency
  • Studio City, CA
National Provider Identifier
1659577971
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000933 Issued in CA
Legal business name
PROFESSIONAL NURSING, INC.
Practice address
12501 Chandler Blvd Ste 205
Studio City, CA 91607-1938
Phone
(818) 955-5848
Fax
(818) 475-5277
NPI assigned
Jun 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Mrs. Florence Tsirulsky
Title
Ceo
Phone
(818) 955-5848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000933 CA Primary

Addresses

Primary practice location

12501 Chandler Blvd Ste 205
Studio City, CA 91607-1938

Mailing address

12501 Chandler Blvd Ste 205
Studio City, CA 91607-1938
Phone (818) 955-5848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000802 CA Part A Provider - Home Health Agency 4082705025 Practice locations: Valley Village, CA

Home health agency certification: CCN 059161

Legal name
PROFESSIONAL NURSING, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 16, 2010
Last certification
Feb 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 25, 2007 in CA
Enrollment address
12501 Chandler Blvd
Ste 205
Valley Village, CA 91607-1938
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Professional Nursing IncCCN 059161
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Feb 16, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2159718Professional Nursing Inc12501 Chandler Blvd Ste 205, Valley Village, CA 91607Certificate of waiverDec 23, 2026

National Provider Directory

National Provider Directory

Locations

1828 W Burbank Blvd
Ste A
Burbank, CA 91506
Phone (818) 955-5848

12501 Chandler Blvd
Ste 205
Valley Village, CA 91607
Phone (818) 955-5848

Ownership & related parties

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.

NameRoleSinceShare
Maya Tsirulsky Individual 5% Or Greater Direct Ownership Interest May 14, 2017 100%
W-2 Managing EmployeeCeo May 14, 2017 100%
Ellada Shigin Individual W-2 Managing EmployeeDirector of Patient Care Service Aug 8, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1659577971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 205",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916071938",
            "telephone_number": "818-955-5848",
            "fax_number": "818-475-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 205",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916071938",
            "telephone_number": "818-955-5848",
            "fax_number": "818-475-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-24",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "TSIRULSKY",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-955-5848",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.