Provider Demographics
NPI:1376011882
Name:MEDEX HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:MEDEX HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EMIK
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-484-7572
Mailing Address - Street 1:436 W COLORADO ST STE 113
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-4567
Mailing Address - Country:US
Mailing Address - Phone:818-484-7572
Mailing Address - Fax:818-484-7573
Practice Address - Street 1:436 W COLORADO ST STE 113
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-4567
Practice Address - Country:US
Practice Address - Phone:818-484-7572
Practice Address - Fax:818-484-7573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health