Healthcare Provider Details

I. General information

NPI: 1679414817
Provider Name (Legal Business Name): PRIME COMFORT HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 VAN NUYS BLVD STE 303
VAN NUYS CA
91405-4634
US

IV. Provider business mailing address

6850 VAN NUYS BLVD STE 303
VAN NUYS CA
91405-4634
US

V. Phone/Fax

Practice location:
  • Phone: 818-806-7262
  • Fax: 818-806-7260
Mailing address:
  • Phone: 818-806-7262
  • Fax: 818-806-7260

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: HENRIK TER-GRIGORYAN
Title or Position: CEO
Credential:
Phone: 818-806-7262