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NPI 1679414817

NPI 1679414817 : PRIME COMFORT HOME HEALTH INC : VAN NUYS, CA

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General NPI Number Information
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    NPI Number           |    1679414817
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRIME COMFORT HOME HEALTH INC 
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Dates
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    Enumeration Date     |    04/02/2026
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    Last Update Date     |    04/02/2026
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Provider Practice Location Address
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    Address Line         |    6850 VAN NUYS BLVD STE 303 
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    City                 |    VAN NUYS
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    State                |    CA
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    Zip                  |    91405-4634
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    Country              |    US
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    Telephone            |    818-806-7262
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    Fax                  |    818-806-7260
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Provider Business Mailing Address
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    Address Line         |    6850 VAN NUYS BLVD STE 303 
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    City                 |    VAN NUYS
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    State                |    CA
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    Zip                  |    91405-4634
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    Country              |    US
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    Telephone            |    818-806-7262
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    Fax                  |    818-806-7260
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     HENRIK  TER-GRIGORYAN 
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    Credential           |    
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    Telephone            |    818-806-7262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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