La Prime Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LA PRIME HOME HEALTH INC

Practice address

12444 Victory Blvd # 215
North Hollywood, CA 91606-3199

Phone

(747) 279-4367

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Simon Karapetyan

Title

Ceo

Phone

(747) 279-4367

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559575

Legal name

LA PRIME HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 27, 2021

Last certification

Aug 27, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 24, 2020 in CA

Enrollment address

12444 Victory Blvd
Ste 215
North Hollywood, CA 91606-3199

Listed as

La Prime Home Health, Inc.CCN 559575

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Aug 27, 2021

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 2

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

Affiliated clinicians 3

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

• Missak Kltchian, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1255359840

  Home health agency

  Care Compare affiliation
• Violeta M Navasardian, M.D.

  • General Practice Physician
  • Pasadena, CA
  • NPI 1073650925

  Home health agency

  Care Compare affiliation
• Tigalat Shalita, D.O.

  • Family Medicine Physician
  • West Hills, CA
  • NPI 1205852316

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1689273625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD # 215",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-279-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD # 215",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-279-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PRIME HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-279-4367"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• La Valley Home Health Care, Inc
• La Valley Recovery
• La Wellness Health Care, Inc.
• Mona Laaly

• 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 Apr 5, 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.