Provider Demographics
NPI:1336316215
Name:MONTEBELLO HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:MONTEBELLO HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGATELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-887-1054
Mailing Address - Street 1:1020A W BEVERLY BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4176
Mailing Address - Country:US
Mailing Address - Phone:323-887-1054
Mailing Address - Fax:323-887-4005
Practice Address - Street 1:1020A W BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4176
Practice Address - Country:US
Practice Address - Phone:323-887-1054
Practice Address - Fax:323-887-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-10
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
059108Medicare PIN