Healthcare Provider Details

I. General information

NPI: 1447173950
Provider Name (Legal Business Name): PRIMECARE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8522 FOOTHILL BLVD STE 207
SUNLAND CA
91040-1915
US

IV. Provider business mailing address

8522 FOOTHILL BLVD STE 207
SUNLAND CA
91040-1915
US

V. Phone/Fax

Practice location:
  • Phone: 818-626-5334
  • Fax: 818-797-5110
Mailing address:
  • Phone: 818-626-5334
  • Fax: 818-797-5110

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: GOR PEPANYAN
Title or Position: CEO
Credential:
Phone: 818-626-5334