Provider Demographics
NPI:1225499742
Name:QUANTUM HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:QUANTUM HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VAZGEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-847-7997
Mailing Address - Street 1:520 E WILSON AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4374
Mailing Address - Country:US
Mailing Address - Phone:818-847-7997
Mailing Address - Fax:818-860-0286
Practice Address - Street 1:520 E WILSON AVE STE 215
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4374
Practice Address - Country:US
Practice Address - Phone:818-847-7997
Practice Address - Fax:818-860-0286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health