Provider Demographics
NPI:1235752973
Name:SELECT HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:SELECT HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANI
Authorized Official - Middle Name:
Authorized Official - Last Name:GABOUCHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-252-5907
Mailing Address - Street 1:6412 MATILIJA AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1576
Mailing Address - Country:US
Mailing Address - Phone:747-252-5907
Mailing Address - Fax:747-252-5908
Practice Address - Street 1:6412 MATILIJA AVE STE 208
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1576
Practice Address - Country:US
Practice Address - Phone:747-252-5907
Practice Address - Fax:472-525-9087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health