Provider Demographics
NPI:1407609506
Name:MADISSON HOME HEALTH, INC.
Entity Type:Organization
Organization Name:MADISSON HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEVORG
Authorized Official - Middle Name:
Authorized Official - Last Name:MINASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-364-1383
Mailing Address - Street 1:8921 DE SOTO AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304-1910
Mailing Address - Country:US
Mailing Address - Phone:833-364-1383
Mailing Address - Fax:818-561-4498
Practice Address - Street 1:8921 DE SOTO AVE STE 204
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-1910
Practice Address - Country:US
Practice Address - Phone:833-364-1383
Practice Address - Fax:818-561-4498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health