Pine Street Healthcare Partners, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PINE STREET HEALTHCARE PARTNERS, LLC

Doing business as

Prime Home Health

Practice address

15315 Magnolia Blvd Ste 401
Sherman Oaks, CA 91403-1175

Phone

(818) 386-6358

Fax

(818) 386-6367

NPI assigned

Dec 28, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Sassover

Title

Chief Executive Officer

Phone

(818) 386-6358

Specialties & licenses 1

Addresses

Other names 1

• Prime Home Health Doing business as

Listed as

Prime Home HealthCCN 557628

Ownership

Proprietary

Certified

Jan 4, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1740752997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SEPULVEDA BLVD STE 101",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304742",
            "telephone_number": "818-386-6358",
            "fax_number": "818-386-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD STE 401",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031175",
            "telephone_number": "818-386-6358",
            "fax_number": "818-386-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE STREET HEALTHCARE PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "SASSOVER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-386-6358",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pic Homecare Inc
• Alexandria Lynn Picarella
• Gregory Piken
• Samaiyh Pilot
• Chantal Pimentel
• David Pineda, PTA
• Viparadee Vicky Pinkoompee, D.C.
• Madilyn Maria Pitrel
• Sheri Lynn Plambeck
• Amy Rachel Plaster, LCSW

• Home Health Agency in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.