Provider Demographics
NPI:1477730828
Name:SHIELD HOME CARE INC
Entity Type:Organization
Organization Name:SHIELD HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GRIGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GARIBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-786-3000
Mailing Address - Street 1:6454 VAN NUYS BLVD
Mailing Address - Street 2:STE 150 #9
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1445
Mailing Address - Country:US
Mailing Address - Phone:818-241-1188
Mailing Address - Fax:818-241-1386
Practice Address - Street 1:6454 VAN NUYS BLVD
Practice Address - Street 2:STE 150 #9
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1445
Practice Address - Country:US
Practice Address - Phone:818-786-3000
Practice Address - Fax:818-786-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health