Provider Demographics
NPI:1417542473
Name:PRIMARY CHOICE HOME HEALTH, CARE INC
Entity Type:Organization
Organization Name:PRIMARY CHOICE HOME HEALTH, CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEROZH
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-901-2690
Mailing Address - Street 1:5658 SEPULVEDA BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2915
Mailing Address - Country:US
Mailing Address - Phone:818-901-2690
Mailing Address - Fax:
Practice Address - Street 1:5658 SEPULVEDA BLVD STE 302
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2915
Practice Address - Country:US
Practice Address - Phone:818-901-2690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health