Provider Demographics
NPI:1164999801
Name:COMMUNITY CHOICE HOME HEALTHCARE
Entity Type:Organization
Organization Name:COMMUNITY CHOICE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARNIK
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-280-3273
Mailing Address - Street 1:21032 DEVONSHIRE ST
Mailing Address - Street 2:SUITE218
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2368
Mailing Address - Country:US
Mailing Address - Phone:818-280-3273
Mailing Address - Fax:818-280-3347
Practice Address - Street 1:21032 DEVONSHIRE ST
Practice Address - Street 2:SUITE218
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2368
Practice Address - Country:US
Practice Address - Phone:818-280-3273
Practice Address - Fax:818-280-3347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health