Professional Care Hospice and Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROFESSIONAL CARE HOSPICE AND HOME HEALTH, INC.

Practice address

8315 3Rd St
Los Angeles, CA 90048

Phone

(818) 555-5555

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Dvaid Little

Title

Ceo

Phone

(818) 555-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 053163

Legal name

PROFESSIONAL CARE HOSPICE AND HOME HEALTH, INC.

Doing business as

PROFESSIONAL HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 6, 2017

Last certification

Dec 6, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 5, 2012 in CA

Enrollment address

13701 Riverside Dr
Ste 701
Sherman Oaks, CA 91423-2467
HHA Branch

Listed as

Professional Care Home HealthCCN 053163

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Dec 6, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1669880290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "818-555-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE HOSPICE AND HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "DVAID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-555-5555"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen K Proctor, CPNP
• Procultural Group Counseling Services
• Prodynamics Inc.
• Lyudmila Proektor, ABO-NCLE
• Professional Action Medical Transport, Inc
• Professional Clinical Laboratory
• Professional Clinical Laboratory
• Professional Concierge Nursing PC
• Professional Executive Business Services, Inc.
• Professional Imaging Network

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 28, 2014; 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.