Organization Active NPI

El Primero Home Health Care Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1982351417
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EL PRIMERO HOME HEALTH CARE INC
Practice address
7335 Van Nuys Blvd Ste 223
Van Nuys, CA 91405-1998
Phone
(747) 966-2120
Fax
(747) 966-2121
NPI assigned
Mar 4, 2022
Last updated
Mar 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Edvard Petrosyan
Title
Ceo
Phone
(747) 966-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7335 Van Nuys Blvd Ste 223
Van Nuys, CA 91405-1998

Mailing address

7335 Van Nuys Blvd Ste 223
Van Nuys, CA 91405-1998
Phone (747) 966-2120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240723000328 CA Part A Provider - Home Health Agency 8022554476 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982351417. Details of each certification follow.

Home health agency certification: CCN 757911

Legal name
EL PRIMERO HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 10, 2025
Last certification
Apr 4, 2025
Organization structure
CorporationProprietary
Enrollment address
7335 Van Nuys Blvd
Ste 223
Van Nuys, CA 91405-1998

Care Compare: Home health agency

Medicare Care Compare
Listed as
El Primero Home Health Care IncCCN 757911 · All quality measures
Ownership
-
Certified
Apr 10, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7335 Van Nuys Blvd
Ste 223
Van Nuys, CA 91405
Phone (747) 966-2120

Ownership & related parties

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.

NameRoleSinceShare
Edvard Petrosyan Individual 5% Or Greater Direct Ownership InterestCeo Feb 23, 2022 100%
Corporate OfficerCeo Feb 23, 2022 100%
Corporate Director Feb 23, 2022
W-2 Managing EmployeeCeo Feb 23, 2022 100%

Practitioners & affiliated clinicians

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": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1982351417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 VAN NUYS BLVD STE 223",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051998",
            "telephone_number": "747-966-2120",
            "fax_number": "747-966-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 VAN NUYS BLVD STE 223",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051998",
            "telephone_number": "747-966-2120",
            "fax_number": "747-966-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PRIMERO HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "EDVARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-966-2120"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.