Provider Demographics
NPI:1467734830
Name:KNA HOME HEALTH, INC
Entity Type:Organization
Organization Name:KNA HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTAPOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHNAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-574-7855
Mailing Address - Street 1:10117 SEPULVEDA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2600
Mailing Address - Country:US
Mailing Address - Phone:818-574-7855
Mailing Address - Fax:818-574-3738
Practice Address - Street 1:10117 SEPULVEDA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2600
Practice Address - Country:US
Practice Address - Phone:818-574-7855
Practice Address - Fax:818-574-3738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2023-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health