Provider Demographics
NPI:1114635356
Name:NURSE NEXT DOOR HOME HEALTH CARE
Entity Type:Organization
Organization Name:NURSE NEXT DOOR HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:SUZY
Authorized Official - Last Name:SHKHRDUMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-998-3060
Mailing Address - Street 1:5250 SANTA MONICA BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1254
Mailing Address - Country:US
Mailing Address - Phone:323-998-3060
Mailing Address - Fax:
Practice Address - Street 1:5250 SANTA MONICA BLVD STE 206
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1254
Practice Address - Country:US
Practice Address - Phone:323-998-3060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health