Provider Demographics
NPI:1154094571
Name:TMT HOME HEALTH CARE
Entity Type:Organization
Organization Name:TMT HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-552-3300
Mailing Address - Street 1:1101 MARINA VILLAGE PKWY STE 204
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-3579
Mailing Address - Country:US
Mailing Address - Phone:323-552-3300
Mailing Address - Fax:
Practice Address - Street 1:1101 MARINA VILLAGE PKWY STE 204
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-3579
Practice Address - Country:US
Practice Address - Phone:323-552-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health