Provider Demographics
NPI:1073234910
Name:HOME HEALTH SERVICES OF SO-CAL INC
Entity Type:Organization
Organization Name:HOME HEALTH SERVICES OF SO-CAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARKIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KSACHIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-800-3806
Mailing Address - Street 1:3414 W VICTORY BLVD STE C2
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-1544
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3414 W VICTORY BLVD STE C2
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-1544
Practice Address - Country:US
Practice Address - Phone:747-800-3806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health