Prohealth Home Care Services, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROHEALTH HOME CARE SERVICES, LLC.

Practice address

4221 Wilshire Blvd Ste 275
Los Angeles, CA 90010-3552

Phone

(323) 932-0773

Fax

(323) 932-7373

NPI assigned

Mar 23, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Mehdi Hasas

Title

President

Phone

(323) 932-0773

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059350

Legal name

PROHEALTH HOME CARE SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 1, 2011

Last certification

Jun 17, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 11, 2010 in CA

Enrollment address

4221 Wilshire Blvd
Ste 275
Los Angeles, CA 90010-3512

Listed as

Prohealth Home Care Services, Inc.CCN 059350

Ownership

Proprietary

Certified

Sep 1, 2011

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 7

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Biana Borchenko, FNP-BC

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1861144727

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Biana Borchenko, FNP-BC

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1861144727
  NPD

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1780908558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 275",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103552",
            "telephone_number": "323-932-0773",
            "fax_number": "323-932-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 275",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103552",
            "telephone_number": "323-932-0773",
            "fax_number": "323-932-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH HOME CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "HASAS",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-932-0773",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Los Angeles, CA
• Providers in Los Angeles, 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 May 1, 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.