Healthcare Provider Details

I. General information

NPI: 1841889433
Provider Name (Legal Business Name): PROLIFIC HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 01/18/2021
Certification Date: 01/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 N GLENOAKS BLVD STE 2
BURBANK CA
91504-2811
US

IV. Provider business mailing address

2116 N GLENOAKS BLVD STE 2
BURBANK CA
91504-2811
US

V. Phone/Fax

Practice location:
  • Phone: 818-433-7432
  • Fax:
Mailing address:
  • Phone: 818-433-7432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SRBUI ARMSTRONG
Title or Position: CEO
Credential:
Phone: 818-433-7432