Provider Demographics
NPI:1174190318
Name:OLIVEGLEN HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:OLIVEGLEN HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NALBANDYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-283-0368
Mailing Address - Street 1:121 S GLENOAKS BLVD STE 2A
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1604
Mailing Address - Country:US
Mailing Address - Phone:747-283-0371
Mailing Address - Fax:747-283-0372
Practice Address - Street 1:121 S GLENOAKS BLVD STE 2
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1604
Practice Address - Country:US
Practice Address - Phone:747-283-0368
Practice Address - Fax:747-283-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health