Provider Demographics
NPI:1427170513
Name:PARAMOUNT HOME HEALTH SERVICES
Entity type:Organization
Organization Name:PARAMOUNT HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / CFO
Authorized Official - Prefix:
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:818-970-7806
Mailing Address - Street 1:9504 TOPANGA CANYON BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-4011
Mailing Address - Country:US
Mailing Address - Phone:818-818-6573
Mailing Address - Fax:818-818-6515
Practice Address - Street 1:9504 TOPANGA CANYON BLVD
Practice Address - Street 2:STE B
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-4011
Practice Address - Country:US
Practice Address - Phone:818-818-6573
Practice Address - Fax:818-818-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980000918251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA557581Medicare Oscar/Certification