Provider Demographics
NPI:1346022050
Name:PROSPECTIVE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:PROSPECTIVE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHRAFYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-666-1516
Mailing Address - Street 1:8705 SUNLAND BLVD UNIT F
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-2839
Mailing Address - Country:US
Mailing Address - Phone:747-666-1516
Mailing Address - Fax:747-666-0969
Practice Address - Street 1:8705 SUNLAND BLVD UNIT F
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-2839
Practice Address - Country:US
Practice Address - Phone:747-666-1516
Practice Address - Fax:747-666-0969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health