Provider Demographics
NPI:1396406856
Name:REMEDIAL HOME HEALTH
Entity Type:Organization
Organization Name:REMEDIAL HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKOBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-990-0001
Mailing Address - Street 1:22900 VENTURA BLVD STE 122
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1269
Mailing Address - Country:US
Mailing Address - Phone:747-990-0001
Mailing Address - Fax:
Practice Address - Street 1:22900 VENTURA BLVD STE 122
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1269
Practice Address - Country:US
Practice Address - Phone:747-990-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health