Provider Demographics
NPI:1306390828
Name:GSR HOME HEALTH, INC.
Entity Type:Organization
Organization Name:GSR HOME HEALTH, INC.
Other - Org Name:HEART OF THE VALLEY HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TARKHANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-582-8572
Mailing Address - Street 1:14349 VICTORY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6515
Mailing Address - Country:US
Mailing Address - Phone:818-582-8572
Mailing Address - Fax:818-582-8579
Practice Address - Street 1:14349 VICTORY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6515
Practice Address - Country:US
Practice Address - Phone:818-582-8572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health