Provider Demographics
NPI:1356074751
Name:BLVD HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:BLVD HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYDINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-975-8205
Mailing Address - Street 1:19634 VENTURA BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2984
Mailing Address - Country:US
Mailing Address - Phone:818-975-8205
Mailing Address - Fax:818-975-8204
Practice Address - Street 1:19634 VENTURA BLVD STE 212
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2984
Practice Address - Country:US
Practice Address - Phone:818-975-8205
Practice Address - Fax:818-975-8204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health