Provider Demographics
NPI:1346794872
Name:WISH U WELL HOME HEALTHCARE
Entity Type:Organization
Organization Name:WISH U WELL HOME HEALTHCARE
Other - Org Name:WISH U WELL HHC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HOVHANNES
Authorized Official - Middle Name:
Authorized Official - Last Name:VARDANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-293-3012
Mailing Address - Street 1:6501 FOOTHILL BLVD # A202
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2765
Mailing Address - Country:US
Mailing Address - Phone:818-293-3012
Mailing Address - Fax:818-760-7359
Practice Address - Street 1:6501 FOOTHILL BLVD # A202
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2765
Practice Address - Country:US
Practice Address - Phone:818-293-3012
Practice Address - Fax:818-760-7359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health