Provider Demographics
NPI:1003587874
Name:MAGNIFENT HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:MAGNIFENT HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEVORG
Authorized Official - Middle Name:
Authorized Official - Last Name:GHARDASHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-482-5509
Mailing Address - Street 1:5012 W SUNSET BLVD UNIT 203
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5820
Mailing Address - Country:US
Mailing Address - Phone:800-471-1035
Mailing Address - Fax:888-611-3498
Practice Address - Street 1:5012 W SUNSET BLVD UNIT 203
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5820
Practice Address - Country:US
Practice Address - Phone:800-471-1035
Practice Address - Fax:888-611-3498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based