Organization Active NPI

Prudent Home Health Care, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1982373437
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRUDENT HOME HEALTH CARE, INC.
Practice address
5250 W Century Blvd Ste 208
Los Angeles, CA 90045-5946
Phone
(213) 296-6940
Fax
(213) 296-6023
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Amanuel Sebhatu
Title
Ceo
Phone
(213) 296-6940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5250 W Century Blvd Ste 208
Los Angeles, CA 90045-5946

Mailing address

5250 W Century Blvd Ste 208
Los Angeles, CA 90045-5946
Phone (213) 296-6940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231211002122 CA Part A Provider - Home Health Agency 0143679530 Practice locations: Los Angeles, CA

Home health agency certification: CCN 757916

Legal name
PRUDENT HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 17, 2025
Last certification
Apr 17, 2025
Organization structure
CorporationProprietary
Incorporated
Aug 5, 2021 in CA
Enrollment address
5250 W Century Blvd
Ste 208
Los Angeles, CA 90045-5946

Care Compare: Home health agency

Medicare Care Compare
Listed as
Prudent Home Health Care, Inc.CCN 757916
Ownership
-
Certified
Apr 17, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5250 W Century Blvd
Ste 208
Los Angeles, CA 90045
Phone (213) 296-6940

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
Amanuel W Sebhatu Individual 5% Or Greater Direct Ownership InterestCeo Aug 5, 2021 100%
Corporate OfficerCeo Aug 5, 2021 100%
Corporate DirectorCeo Aug 5, 2021 100%
W-2 Managing EmployeeCeo Aug 5, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1982373437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455946",
            "telephone_number": "213-296-6940",
            "fax_number": "213-296-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455946",
            "telephone_number": "213-296-6940",
            "fax_number": "213-296-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "SEBHATU",
        "authorized_official_first_name": "AMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-296-6940"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.