Provider Demographics
NPI:1215602149
Name:AA CARE HOME HEALTH
Entity Type:Organization
Organization Name:AA CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AVAGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-552-3300
Mailing Address - Street 1:21900 BURBANK BLVD STE 3073
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6469
Mailing Address - Country:US
Mailing Address - Phone:323-552-3300
Mailing Address - Fax:
Practice Address - Street 1:21900 BURBANK BLVD STE 3073
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6469
Practice Address - Country:US
Practice Address - Phone:323-552-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health