Provider Demographics
NPI:1306042460
Name:VASO
Entity Type:Organization
Organization Name:VASO
Other - Org Name:SUNRISE HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:VARSENIK
Authorized Official - Middle Name:H
Authorized Official - Last Name:KESHISHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-304-3334
Mailing Address - Street 1:1277 W ALLUVIAL AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0502
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2626 S MOONEY BLVD
Practice Address - Street 2:STE. CD3
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-6203
Practice Address - Country:US
Practice Address - Phone:559-304-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health