Prime Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRIME HOSPICE CARE LLC

Practice address

2139 Tapo St
Suite 222
Simi Valley, CA 93063-3478

Phone

(805) 504-7830

Fax

(805) 504-7812

NPI assigned

Mar 26, 2009

Organization subpart

No

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

Authorized official

Name

Helen Mohsenzadeh

Title

Ceo

Phone

(805) 522-5354

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1770725574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST",
            "address_2": "#222",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93063",
            "telephone_number": "805-522-5354",
            "fax_number": "805-504-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST",
            "address_2": "SUITE 222",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633478",
            "telephone_number": "805-504-7830",
            "fax_number": "805-504-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "MOHSENZADEH",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-522-5354"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn W. Preston, PHARM.D.
• Shawnita Preyer, ND
• Gabrielle Price, LCSW
• Primacare Hospice, Inc.
• Prime Home Healthcare Inc
• Procare Home Health LLC
• Professional Care Home Health Services, Inc.
• Amanda Proietty, PHARMD
• Protox Management Group, LLC
• Konstantinos Proussaefs, D.D.S.

• Community Based Hospice Care Agency in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.