=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427170513
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PARAMOUNT HOME HEALTH SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2007
-----------------------------------------------------
Last Update Date | 04/18/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9504 TOPANGA CANYON BLVD STE B
-----------------------------------------------------
City | CHATSWORTH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91311-4011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-818-6573
-----------------------------------------------------
Fax | 818-818-6515
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9504 TOPANGA CANYON BLVD STE B
-----------------------------------------------------
City | CHATSWORTH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91311-4011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-818-6573
-----------------------------------------------------
Fax | 818-818-6515
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR / CFO
-----------------------------------------------------
Name | LORNA C RODRIGUEZ
-----------------------------------------------------
Credential | MBA
-----------------------------------------------------
Telephone | 818-970-7806
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 980000918
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------