Provider Demographics
NPI:1326427436
Name:A&G HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:A&G HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GOHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKAYELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-761-1702
Mailing Address - Street 1:6005 VINELAND AVE
Mailing Address - Street 2:STE 206
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4981
Mailing Address - Country:US
Mailing Address - Phone:818-761-1702
Mailing Address - Fax:844-273-2796
Practice Address - Street 1:6005 VINELAND AVE
Practice Address - Street 2:STE 206
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4981
Practice Address - Country:US
Practice Address - Phone:818-761-1702
Practice Address - Fax:844-273-2796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health