Provence Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVENCE HOME HEALTH CARE

Practice address

5311 Topanga Canyon Blvd Ste 213
Woodland Hills, CA 91364-1754

Phone

(818) 875-1462

NPI assigned

Jul 9, 2021

Organization subpart

Yes

Parent organization

PRIME ADVISINGAs reported in NPPES

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

Authorized official

Name

Karush Kirakosyan

Title

Ceo

Phone

(818) 875-1462

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1710558705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 213",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 213",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754",
            "telephone_number": "818-875-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVENCE HOME HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME ADVISING",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "KIRAKOSYAN",
        "authorized_official_first_name": "KARUSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-875-1462"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.