Provider Demographics
NPI:1326824079
Name:SUNTRUST HOME HEALTH, INC.
Entity Type:Organization
Organization Name:SUNTRUST HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEDRAK
Authorized Official - Middle Name:
Authorized Official - Last Name:BARUTYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-299-7161
Mailing Address - Street 1:13557 1/2 VENTURA BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423
Mailing Address - Country:US
Mailing Address - Phone:818-574-8074
Mailing Address - Fax:818-784-9021
Practice Address - Street 1:13557 1/2 VENTURA BLVD STE 202
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423
Practice Address - Country:US
Practice Address - Phone:818-574-8074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health