Provider Demographics
NPI:1033326418
Name:ASN HORIZON HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ASN HORIZON HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSIPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-760-8004
Mailing Address - Street 1:6422 BELLINGHAM AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1417
Mailing Address - Country:US
Mailing Address - Phone:818-760-8004
Mailing Address - Fax:
Practice Address - Street 1:6422 BELLINGHAM AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1417
Practice Address - Country:US
Practice Address - Phone:818-760-8004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000861251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059064Medicare Oscar/Certification