Provider Demographics
NPI:1255009551
Name:EXCELLERATED HOME HEALTH, INC.
Entity Type:Organization
Organization Name:EXCELLERATED HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO, SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PETROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-310-3000
Mailing Address - Street 1:4741 LAUREL CANYON BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-5905
Mailing Address - Country:US
Mailing Address - Phone:626-310-3000
Mailing Address - Fax:310-347-4444
Practice Address - Street 1:4741 LAUREL CANYON BLVD STE 101
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-5905
Practice Address - Country:US
Practice Address - Phone:626-310-3000
Practice Address - Fax:310-347-4444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health