Provider Demographics
NPI:1184335283
Name:PROSPERITY HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:PROSPERITY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMIRCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-237-6909
Mailing Address - Street 1:21601 DEVONSHIRE ST STE 126
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2946
Mailing Address - Country:US
Mailing Address - Phone:747-202-3877
Mailing Address - Fax:
Practice Address - Street 1:21601 DEVONSHIRE ST STE 126
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2946
Practice Address - Country:US
Practice Address - Phone:747-202-3877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health