Provider Demographics
NPI:1346913324
Name:TOP FORM HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:TOP FORM HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROZA
Authorized Official - Middle Name:ROZIE
Authorized Official - Last Name:AVSHARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-877-2781
Mailing Address - Street 1:14529 ARCHWOOD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4602
Mailing Address - Country:US
Mailing Address - Phone:747-877-2781
Mailing Address - Fax:747-877-2783
Practice Address - Street 1:14529 ARCHWOOD ST STE 102
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4602
Practice Address - Country:US
Practice Address - Phone:747-877-2781
Practice Address - Fax:747-877-2783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health