Provider Demographics
NPI:1134703416
Name:INTELLIGENT HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:INTELLIGENT HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO, SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:LUSIK
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVTYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-247-7344
Mailing Address - Street 1:411 W 7TH ST STE 201C
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-3659
Mailing Address - Country:US
Mailing Address - Phone:323-247-7344
Mailing Address - Fax:323-978-5333
Practice Address - Street 1:411 W 7TH ST STE 201C
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014-3659
Practice Address - Country:US
Practice Address - Phone:323-247-7344
Practice Address - Fax:323-978-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health