Provider Demographics
NPI:1174950505
Name:GOOD CHOICE HOME HEALTH, INC.
Entity type:Organization
Organization Name:GOOD CHOICE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AREVIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-748-0007
Mailing Address - Street 1:1117 N HOLLYWOOD WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2528
Mailing Address - Country:US
Mailing Address - Phone:818-748-0007
Mailing Address - Fax:818-748-0006
Practice Address - Street 1:1117 N HOLLYWOOD WAY
Practice Address - Street 2:SUITE B
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2528
Practice Address - Country:US
Practice Address - Phone:818-748-0007
Practice Address - Fax:818-748-0006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5500002914251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health