Principle Home Health , Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRINCIPLE HOME HEALTH , INC.

Practice address

9608 Van Nuys Blvd Ste 204B
Panorama City, CA 91402-1043

Phone

(818) 830-0030

Fax

(818) 830-0307

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Anton Gorskikh

Title

Ceo/Predident

Phone

(818) 830-0030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 753143

Legal name

PRINCIPLE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 13, 2022

Last certification

May 6, 2022

Organization structure

CorporationProprietary

Enrollment address

9608 Van Nuys Blvd
Ste 204B
Panorama City, CA 91402-1043

Listed as

Principle Home Health, IncCCN 753143

Ownership

-

Certified

May 13, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 1

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

• Ariel Monsanto Gavino, M.D.

  • Addiction Psychiatry Physician
  • Anaheim, CA
  • NPI 1659531994

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1801403985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 VAN NUYS BLVD STE 204B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021043",
            "telephone_number": "818-830-0030",
            "fax_number": "818-830-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 VAN NUYS BLVD STE 204B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021043",
            "telephone_number": "818-830-0030",
            "fax_number": "818-830-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLE HOME HEALTH , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "GORSKIKH",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "CEO/PREDIDENT",
        "authorized_official_telephone_number": "818-830-0030"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamera Powell
• Michael J Powers II, M.D., M.P.H.
• Carol Preciado, D.M.D.
• Joan E. Presby, MD
• Prime Med Health
• Principle Hospice, Inc.
• Proactive Billing & Consulting
• Progressive Health Care Providers, Inc.
• Promed Group Services
• Jayashree Puvvula, MD

• Home Health Agency in Panorama City, CA
• Providers in Panorama City, 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 Sep 23, 2020; 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.