Promed Care Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROMED CARE HOME HEALTH INC

Practice address

6260 Laurel Canyon Blvd
Suite 304
North Hollywood, CA 91606-3258

Phone

(818) 508-8112

Fax

(818) 508-8097

NPI assigned

Jul 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Azatui Kaladjian, VN234777

Title

President

Phone

(818) 508-8112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059485

Legal name

PROMED CARE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 8, 2013

Last certification

Dec 6, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 7, 2011 in CA

Enrollment address

6260 Laurel Canyon Blvd 203
North Hollywood, CA 91606-3258

Listed as

Promed Care Home Health, Inc.CCN 059485

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Jan 8, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 3

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

• Hakop Gevorkyan, MD

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1073689386

  Home health agency

  Care Compare affiliation
• Vagharshak M Pilossyan, M.D.

  • Family Medicine Physician
  • Van Nuys, CA
  • NPI 1467530121

  Home health agency

  Care Compare affiliation
• Garo A Terzian, MD

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1700952090

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1851689541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 LAUREL CANYON BLVD",
            "address_2": "SUITE 304",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063234",
            "telephone_number": "818-508-8112",
            "fax_number": "818-508-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 LAUREL CANYON BLVD",
            "address_2": "SUITE 304",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063258",
            "telephone_number": "818-508-8112",
            "fax_number": "818-508-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "KALADJIAN",
        "authorized_official_first_name": "AZATUI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-508-8112",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "VN234777"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Proulx, J.D., MFC

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, 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 6, 2015; 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.