Prolific Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROLIFIC HOME HEALTH

Practice address

2116 N Glenoaks Blvd Ste 2
Burbank, CA 91504-2811

Phone

(818) 433-7432

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

Srbui Armstrong

Title

Ceo

Phone

(818) 433-7432

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559656

Legal name

PROLIFIC HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 3, 2021

Last certification

Nov 3, 2021

Organization structure

CorporationProprietary

Enrollment address

2116 N Glenoaks Blvd
Ste 2
Burbank, CA 91504-2811

Listed as

Prolific Home HealthCCN 559656 · All quality measures

Overall star rating

2.5 of 5

Ownership

-

Certified

Nov 3, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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.

• Cameo D Cozart-Chance, M.D.

  • Emergency Medicine Physician
  • West Hills, CA
  • NPI 1619903135

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1841889433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 N GLENOAKS BLVD STE 2",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042811",
            "telephone_number": "818-433-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 N GLENOAKS BLVD STE 2",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042811",
            "telephone_number": "818-433-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "SRBUI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-433-7432"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sirinda Promlap
• Pronto Medical Supply Inc
• Prosperity Healthcare, Inc.

• Home Health Agency in Burbank, CA
• Providers in Burbank, 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 18, 2021; 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.