Provider Demographics
NPI:1275115453
Name:HEALING GARDEN CORPORATION
Entity Type:Organization
Organization Name:HEALING GARDEN CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALVINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MKRTUMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-399-6823
Mailing Address - Street 1:8978 TAMPA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3521
Mailing Address - Country:US
Mailing Address - Phone:818-399-6823
Mailing Address - Fax:
Practice Address - Street 1:8978 TAMPA AVE
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3521
Practice Address - Country:US
Practice Address - Phone:818-399-6823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health