Provider Demographics
NPI:1255006425
Name:RESIDENTIAL ASSISTANCE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:RESIDENTIAL ASSISTANCE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUTIUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-239-8399
Mailing Address - Street 1:5250 LANKERSHIM BLVD STE 565
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-3186
Mailing Address - Country:US
Mailing Address - Phone:323-552-3300
Mailing Address - Fax:
Practice Address - Street 1:5250 LANKERSHIM BLVD STE 565
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-3186
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:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health