Provider Demographics
NPI:1295471035
Name:FIRST LA HOME CARE INC
Entity Type:Organization
Organization Name:FIRST LA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-205-2221
Mailing Address - Street 1:5301 LAUREL CANYON BLVD STE 132
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-4935
Mailing Address - Country:US
Mailing Address - Phone:747-205-2221
Mailing Address - Fax:747-205-2236
Practice Address - Street 1:5301 LAUREL CANYON BLVD STE 132
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-4935
Practice Address - Country:US
Practice Address - Phone:747-205-2221
Practice Address - Fax:747-205-2236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health