Provider Demographics
NPI:1437801073
Name:LAVENDER HOME HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:LAVENDER HOME HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDAGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-514-0230
Mailing Address - Street 1:8932 RESEDA BLVD, UNIT 106
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-5826
Mailing Address - Country:US
Mailing Address - Phone:818-514-0230
Mailing Address - Fax:818-514-0230
Practice Address - Street 1:8932 RESEDA BLVD, UNIT 106
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-5826
Practice Address - Country:US
Practice Address - Phone:818-514-0230
Practice Address - Fax:818-514-0230
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VBA INVESTMENTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health