Provider Demographics
NPI:1477589224
Name:LA FAMILY HOME HEALTH INC
Entity Type:Organization
Organization Name:LA FAMILY HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOORESHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-726-1112
Mailing Address - Street 1:1301W.2ND ST STE. 207
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026
Mailing Address - Country:US
Mailing Address - Phone:213-481-2500
Mailing Address - Fax:213-481-2555
Practice Address - Street 1:1301 W 2ND ST STE 206
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-5861
Practice Address - Country:US
Practice Address - Phone:213-481-2500
Practice Address - Fax:213-481-2555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA058202251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058202Medicare Oscar/Certification