Provider Demographics
NPI:1467643809
Name:DIRECT NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:DIRECT NURSING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAROUT
Authorized Official - Middle Name:
Authorized Official - Last Name:BARGHOUTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-985-9898
Mailing Address - Street 1:1111 N BRAND BLVD
Mailing Address - Street 2:STE 310
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-3070
Mailing Address - Country:US
Mailing Address - Phone:818-985-9898
Mailing Address - Fax:818-985-8898
Practice Address - Street 1:1111 N BRAND BLVD
Practice Address - Street 2:STE 310
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-3070
Practice Address - Country:US
Practice Address - Phone:818-985-9898
Practice Address - Fax:818-985-8898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001002251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059092Medicare Oscar/Certification