Provider Demographics
NPI:1164917290
Name:LANKERSHIM HOME CARE, INC.
Entity Type:Organization
Organization Name:LANKERSHIM HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YURIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAPETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-617-9656
Mailing Address - Street 1:6829 LANKERSHIM BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-6109
Mailing Address - Country:US
Mailing Address - Phone:818-617-9656
Mailing Address - Fax:818-698-8797
Practice Address - Street 1:6829 LANKERSHIM BLVD STE 207
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-6109
Practice Address - Country:US
Practice Address - Phone:818-617-9656
Practice Address - Fax:818-698-8797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-01
Last Update Date:2018-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health