Prime Care Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIME CARE SERVICES INC

Practice address

14545 Friar St Ste 120
Van Nuys, CA 91411-4712

Phone

(818) 646-1260

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Mariam Galstyan

Title

Ceo

Phone

(818) 646-1260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922719855. Details of each certification follow.

• CCN 757953 Home health agency · Active · Details

Home health agency certification: CCN 757953

Legal name

PRIME CARE SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 30, 2025

Last certification

Apr 10, 2025

Organization structure

CorporationProprietary

Enrollment address

14545 Friar St
Ste 120
Van Nuys, CA 91411-4712
HHA Branch

Listed as

Prime Care Services, IncCCN 757953 · All quality measures

Ownership

-

Certified

Apr 30, 2025

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 3

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

• Homer Kam Yun Lew, D.O.

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1154452142

  Home health agency

  Care Compare affiliation
• Kevin Scott Scher, MD MBA

  • Hematology & Oncology Physician
  • Beverly Hills, CA
  • NPI 1457591075

  Home health agency

  Care Compare affiliation
• Yi Tang, M.D.

  • Hospitalist Physician
  • Irvine, CA
  • NPI 1992913222

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1922719855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 120",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114712",
            "telephone_number": "818-646-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 120",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114712",
            "telephone_number": "818-646-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "GALSTYAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-646-1260",
        "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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• Primary Choice Home Health, Care Inc
• Primary Healthcare Medical Center
• Prime 1 Home Health
• Prime Care Therapeutic Services Inc.
• Prime Comfort Home Health Inc
• Prime Dent Laboratory, LLC.
• Prime Liberty Pharmacy Inc (Prime Liberty Pharmacy)
• Prime Med Laboratory Inc

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Dec 12, 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.