Prime Van Nuys Homecare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIME VAN NUYS HOMECARE, INC.

Practice address

6360 Van Nuys Blvd Ste 223
Van Nuys, CA 91401-6650

Phone

(818) 646-0029

NPI assigned

Dec 3, 2021

Organization subpart

No

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

Authorized official

Name

Souren Basmadjian

Title

Ceo

Phone

(818) 646-0029

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1932867116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 VAN NUYS BLVD STE 223",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 VAN NUYS BLVD STE 223",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016650",
            "telephone_number": "818-646-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME VAN NUYS HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "BASMADJIAN",
        "authorized_official_first_name": "SOUREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-646-0029"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.