Provider Demographics
NPI:1245793116
Name:NURSES HHA CO, INC.
Entity Type:Organization
Organization Name:NURSES HHA CO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELIKOVSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-949-6556
Mailing Address - Street 1:5121 VAN NUYS BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-6127
Mailing Address - Country:US
Mailing Address - Phone:818-949-6556
Mailing Address - Fax:
Practice Address - Street 1:5121 VAN NUYS BLVD STE 206
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-6127
Practice Address - Country:US
Practice Address - Phone:818-949-6556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1Medicaid