Promedic Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROMEDIC HOME HEALTH, INC.

Practice address

18570 Sherman Way Ste N
Reseda, CA 91335-4140

Phone

(818) 928-8288

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Nelli Meliksetyan

Title

Ceo/Cfo/Secretary

Phone

(818) 966-2400

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757935

Legal name

PROMEDIC HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 12, 2025

Last certification

Mar 4, 2025

Organization structure

CorporationProprietary

Incorporated

Nov 1, 2022 in CA

Enrollment address

18570 Sherman Way
Ste N
Reseda, CA 91335-4140

Listed as

Promedic Home Health, Inc.CCN 757935

Ownership

-

Certified

Mar 12, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Interoperability endpoints

• Direct secure messaging: nelli@promedichomehealth.com

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.

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1851009641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18570 SHERMAN WAY STE N",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354140",
            "telephone_number": "818-928-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18570 SHERMAN WAY STE N",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354140",
            "telephone_number": "818-928-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDIC HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "MELIKSETYAN",
        "authorized_official_first_name": "NELLI",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY",
        "authorized_official_telephone_number": "818-966-2400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nelli@PromedicHomeHealth.com",
            "affiliation": "N",
            "address_1": "18570 Sherman Way Ste N",
            "city": "Reseda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913354140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Reseda, CA
• Providers in Reseda, 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 Nov 9, 2022; 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.