Prestige Home Health Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRESTIGE HOME HEALTH INC

Practice address

6303 Owensmouth Ave Ste 1088
Woodland Hills, CA 91367-2264

Phone

(818) 936-2188

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Avetik Marukhyan

Title

Ceo

Phone

(818) 936-2188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 753138

Legal name

PRESTIGE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 23, 2022

Last certification

Mar 15, 2022

Organization structure

CorporationProprietary

Incorporated

Apr 6, 2020 in CA

Enrollment address

6303 Owensmouth Ave
Ste 1088
Woodland Hills, CA 91367-2264
HHA Branch

Listed as

Prestige Home Health IncCCN 753138

Overall star rating

2.5 of 5

Ownership

-

Certified

Mar 23, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1982267753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 OWENSMOUTH AVE STE 1088",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672264",
            "telephone_number": "818-936-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 OWENSMOUTH AVE STE 1088",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672264",
            "telephone_number": "818-936-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "MARUKHYAN",
        "authorized_official_first_name": "AVETIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-936-2188"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.