Provider Demographics
NPI:1174298160
Name:HEAVEN SENT HOME HEALTH, INC.
Entity Type:Organization
Organization Name:HEAVEN SENT HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO, SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TERTERYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-590-0032
Mailing Address - Street 1:4195 VALLEY FAIR ST STE 203A
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2900
Mailing Address - Country:US
Mailing Address - Phone:805-590-0032
Mailing Address - Fax:805-590-0033
Practice Address - Street 1:4195 VALLEY FAIR ST STE 203A
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2900
Practice Address - Country:US
Practice Address - Phone:805-590-0032
Practice Address - Fax:805-590-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health