MEDICARE: PROMINENT HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1750750576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROMINENT HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	25115 AVENUE STANFORD STE B225
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-1290
Country	:	US
Telephone Number	:	818-666-7154
Fax Number	:	818-638-1684

Provider Business Practice Location Address
First Line	:	25115 AVENUE STANFORD STE B225
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-1290
Country	:	US
Telephone Number	:	818-666-7154
Fax Number	:	818-638-1684

Authorized Official
Title or Position	:	CEO
Name	:	HASMIK ABGARYAN
Credential	:
Telephone Number	:	818-666-7154

Provider Enumeration Date	:	09/22/2015
Last Update Date	:	12/09/2024

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