Provider Demographics
NPI:1114648896
Name:GRANDVIEW HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:GRANDVIEW HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CWO
Authorized Official - Prefix:
Authorized Official - First Name:YOUSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHRABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-300-0814
Mailing Address - Street 1:1220 W GLENOAKS BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-2292
Mailing Address - Country:US
Mailing Address - Phone:747-300-0814
Mailing Address - Fax:747-300-0818
Practice Address - Street 1:1220 W GLENOAKS BLVD STE 104
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-2292
Practice Address - Country:US
Practice Address - Phone:747-300-0814
Practice Address - Fax:747-300-0818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health