Provider Demographics
NPI:1487226502
Name:PUREX HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:PUREX HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASATRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-806-9060
Mailing Address - Street 1:11755 VICTORY BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3462
Mailing Address - Country:US
Mailing Address - Phone:818-806-9060
Mailing Address - Fax:818-806-9034
Practice Address - Street 1:11755 VICTORY BLVD STE 104
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3462
Practice Address - Country:US
Practice Address - Phone:818-806-9060
Practice Address - Fax:818-806-9034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health