Provider Demographics
NPI:1275031395
Name:NIRVANA HOME HEALTH, INC.
Entity Type:Organization
Organization Name:NIRVANA HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VAHE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMIRCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-224-7452
Mailing Address - Street 1:17620 SHERMAN WAY STE 215A
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3511
Mailing Address - Country:US
Mailing Address - Phone:747-224-7452
Mailing Address - Fax:818-688-0547
Practice Address - Street 1:17620 SHERMAN WAY STE 215A
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3511
Practice Address - Country:US
Practice Address - Phone:747-224-7452
Practice Address - Fax:818-688-0547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health