Provider Demographics
NPI:1164913687
Name:BELLA VITA HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:BELLA VITA HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KHACHATUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ASPOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-209-4000
Mailing Address - Street 1:1915 W GLENOAKS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-4387
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1915 W GLENOAKS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-4387
Practice Address - Country:US
Practice Address - Phone:818-209-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health