Promed Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROMED HOME HEALTH CARE INC

Practice address

13317 Ventura Blvd Ste I
Sherman Oaks, CA 91423-6219

Phone

(661) 941-2000

Fax

(661) 941-2002

NPI assigned

Jun 10, 2021

Organization subpart

No

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

Authorized official

Name

Yegsik AmirkhanyanNPI 1023876364

Title

Ceo

Phone

(818) 284-7136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 753178

Legal name

PROMED HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 12, 2022

Last certification

Aug 30, 2022

Organization structure

CorporationProprietary

Incorporated

May 8, 2021 in CA

Enrollment address

13317 Ventura Blvd
Ste I
Sherman Oaks, CA 91423-6219

Listed as

Promed Home Health Care, Inc.CCN 753178 · All quality measures

Overall star rating

4 of 5

Ownership

-

Certified

Sep 12, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yegsik Amirkhanyan, NP

  • Registered Nurse
  • Van Nuys, CA
  • NPI 1023876364
  NPD Authorized official

Affiliated clinicians 7

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

• Alon Antebi, DO

  • Orthopaedic Trauma Physician
  • Lancaster, CA
  • NPI 1639174816

  Home health agency

  Care Compare affiliation
• Scott Daniel, DO

  • Physical Medicine & Rehabilitation Physician
  • Lancaster, CA
  • NPI 1861021222

  Home health agency

  Care Compare affiliation
• Thomas S. Nasser, DO

  • Physical Medicine & Rehabilitation Physician
  • Lancaster, CA
  • NPI 1073594636

  Home health agency

  Care Compare affiliation
• Eric Toshio Owashi, M.D.

  • Orthopaedic Surgery Physician
  • Lancaster, CA
  • NPI 1396123857

  Home health agency

  Care Compare affiliation
• Orlando I Pena, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Lancaster, CA
  • NPI 1689068629

  Home health agency

  Care Compare affiliation
• Justin J Sherfey, DO

  • Orthopaedic Surgery Physician
  • Lancaster, CA
  • NPI 1689786873

  Home health agency

  Care Compare affiliation
• Domenick J Sisto, M.D.

  • Specialist
  • Sherman Oaks, CA
  • NPI 1568427029

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1770150369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13317 VENTURA BLVD STE I",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236219",
            "telephone_number": "661-941-2000",
            "fax_number": "661-941-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13317 VENTURA BLVD STE I",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236219",
            "telephone_number": "661-941-2000",
            "fax_number": "661-941-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "AMIRKHANYAN",
        "authorized_official_first_name": "YEGSIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-284-7136"
    },
    "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 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 Mar 11, 2024; 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.