Provider Demographics
NPI:1164013355
Name:SUFFOLK HOME HEALTH, INC
Entity Type:Organization
Organization Name:SUFFOLK HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MKRTCHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-239-1815
Mailing Address - Street 1:124 E SANTA FE AVE # 203
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-2526
Mailing Address - Country:US
Mailing Address - Phone:626-239-1815
Mailing Address - Fax:
Practice Address - Street 1:124 E SANTA FE AVE # 203
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-2526
Practice Address - Country:US
Practice Address - Phone:626-239-1815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health