Provider Demographics
NPI:1316000854
Name:BURBANK HOME CARE, INC.
Entity Type:Organization
Organization Name:BURBANK HOME CARE, INC.
Other - Org Name:HOME HEALTH CARE DYNASTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-506-5553
Mailing Address - Street 1:4730 WOODMAN AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2443
Mailing Address - Country:US
Mailing Address - Phone:818-506-5553
Mailing Address - Fax:818-506-5544
Practice Address - Street 1:4730 WOODMAN AVE STE 304
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2443
Practice Address - Country:US
Practice Address - Phone:818-506-5553
Practice Address - Fax:818-506-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000389251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058446Medicare Oscar/Certification