Healthcare Provider Details

I. General information

NPI: 1487280095
Provider Name (Legal Business Name): PROMINENT HOME CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2020
Last Update Date: 11/23/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7148 1/2 FOOTHILL BLVD STE A
TUJUNGA CA
91042-2782
US

IV. Provider business mailing address

7148 1/2 FOOTHILL BLVD STE A
TUJUNGA CA
91042-2782
US

V. Phone/Fax

Practice location:
  • Phone: 747-282-1618
  • Fax: 747-282-1619
Mailing address:
  • Phone: 747-282-1618
  • Fax: 747-282-1619

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: ERIK YANDYAN
Title or Position: CEO
Credential:
Phone: 747-282-1618