Provider Demographics
NPI:1073256285
Name:CA HOME HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:CA HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NORA
Authorized Official - Middle Name:
Authorized Official - Last Name:NASIBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-909-8008
Mailing Address - Street 1:171 N ALTADENA DR STE 285
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-7353
Mailing Address - Country:US
Mailing Address - Phone:323-909-8008
Mailing Address - Fax:323-909-8008
Practice Address - Street 1:171 N ALTADENA DR STE 285
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-7353
Practice Address - Country:US
Practice Address - Phone:323-909-8008
Practice Address - Fax:323-909-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health