Provider Demographics
NPI:1154093417
Name:1ST CARE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:1ST CARE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:INDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-279-1027
Mailing Address - Street 1:1023 N HOLLYWOOD WAY STE 209
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2543
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1023 N HOLLYWOOD WAY STE 209
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2543
Practice Address - Country:US
Practice Address - Phone:424-279-1027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health