Organization Active NPI

Prudence Home Health Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1962963470
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRUDENCE HOME HEALTH INC.
Practice address
1924 W Olive Ave
Burbank, CA 91506-2438
Phone
(818) 208-0070
Fax
(818) 804-3384
NPI assigned
Mar 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Nushik HamamjyanNPI 1104630755
Title
Ceo
Phone
(818) 208-0070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1924 W Olive Ave
Burbank, CA 91506-2438

Mailing address

1924 W Olive Ave
Burbank, CA 91506-2438
Phone (818) 208-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200331000556 CA Part A Provider - Home Health Agency 4880027952 Practice locations: Burbank, CA

Home health agency certification: CCN 559272

Legal name
PRUDENCE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 29, 2020
Last certification
May 29, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 19, 2019 in CA
Enrollment address
1924 W Olive Ave
Burbank, CA 91506-2438

Care Compare: Home health agency

Medicare Care Compare
Listed as
Prudence Home Health IncCCN 559272
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 29, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2314335Prudence Home Health, Inc1924 W Olive Ave, Burbank, CA 91506Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory

Locations

1924 W Olive Ave
Burbank, CA 91506
Phone (818) 208-0070

14545 Friar St
Ste 202P
Van Nuys, CA 91411
Phone (719) 800-0080

Ownership & related parties

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.

NameRoleSinceShare
Nushik Hamamjyan Individual 5% Or Greater Indirect Ownership Interest Oct 13, 2021 100%
Corporate Officer Oct 13, 2021
Corporate Director Oct 13, 2021
W-2 Managing Employee Oct 13, 2021
Bel Air Home Health Inc Organization, Van Nuys, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1962963470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062438",
            "telephone_number": "818-208-0070",
            "fax_number": "818-804-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062438",
            "telephone_number": "818-208-0070",
            "fax_number": "818-804-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENCE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "HAMAMJYAN",
        "authorized_official_first_name": "NUSHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-208-0070"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.