Provider Demographics
NPI:1326344763
Name:PRECISE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:PRECISE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVSEPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-760-1110
Mailing Address - Street 1:1241 S GLENDALE AVE
Mailing Address - Street 2:SUITE 205A
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-3385
Mailing Address - Country:US
Mailing Address - Phone:818-760-1110
Mailing Address - Fax:818-760-1177
Practice Address - Street 1:1241 S GLENDALE AVE
Practice Address - Street 2:SUITE 205A
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-3385
Practice Address - Country:US
Practice Address - Phone:818-760-1110
Practice Address - Fax:818-760-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001628251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059433Medicare Oscar/Certification