Provider Demographics
NPI:1073934709
Name:21ST CENTURY NURSING SERVICES INC.
Entity Type:Organization
Organization Name:21ST CENTURY NURSING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEVORG
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-721-2300
Mailing Address - Street 1:3538 W BEVERLY BLVD UNIT F
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-1563
Mailing Address - Country:US
Mailing Address - Phone:323-721-2300
Mailing Address - Fax:323-721-2303
Practice Address - Street 1:3538 W BEVERLY BLVD UNIT F
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-1563
Practice Address - Country:US
Practice Address - Phone:323-721-2300
Practice Address - Fax:323-721-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-24
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health