Provider Demographics
NPI:1477069078
Name:CONCIERGE HOME CARE, INC.
Entity Type:Organization
Organization Name:CONCIERGE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAHAK
Authorized Official - Middle Name:
Authorized Official - Last Name:KESHISHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-863-7494
Mailing Address - Street 1:761 E GREEN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2124
Mailing Address - Country:US
Mailing Address - Phone:626-863-7494
Mailing Address - Fax:626-657-2905
Practice Address - Street 1:761 E GREEN ST STE 6
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2124
Practice Address - Country:US
Practice Address - Phone:626-863-7494
Practice Address - Fax:626-657-2905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health