Pro Am Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRO AM HOME HEALTH

Practice address

10999 Riverside Dr Ste 200
North Hollywood, CA 91602-2239

Phone

(818) 572-0646

Fax

(818) 660-2942

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Diana Grigoryan

Title

Ceo

Phone

(818) 572-0646

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757179

Legal name

PRO AM HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 2, 2023

Last certification

Mar 2, 2023

Organization structure

CorporationProprietary

Incorporated

Feb 9, 2021 in CA

Enrollment address

127 S Brand Blvd
Ste 206
Glendale, CA 91204-1372
HHA Branch

Listed as

Pro Am Home HealthCCN 757179

Ownership

-

Certified

Mar 2, 2023

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.

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1972198299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10999 RIVERSIDE DR STE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022239",
            "telephone_number": "818-572-0646",
            "fax_number": "818-660-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10999 RIVERSIDE DR STE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022239",
            "telephone_number": "818-572-0646",
            "fax_number": "818-660-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO AM HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-572-0646"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NORTHHOLLYWOOD",
            "affiliation": "N",
            "address_1": "10999 Riverside Dr Ste 200",
            "city": "North Hollywood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "916022239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• 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 Mar 30, 2026; 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.