Provider Demographics
NPI:1467184648
Name:EDAR HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:EDAR HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:ARSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSHAKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-500-0005
Mailing Address - Street 1:1524 W GLENOAKS BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1913
Mailing Address - Country:US
Mailing Address - Phone:818-246-2121
Mailing Address - Fax:
Practice Address - Street 1:1524 W GLENOAKS BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1913
Practice Address - Country:US
Practice Address - Phone:818-530-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA88166142Medicaid