Provider Demographics
NPI:1497046890
Name:AGA HOME HEALTH, INC.
Entity Type:Organization
Organization Name:AGA HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRANIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-864-9998
Mailing Address - Street 1:220 E 3900 S
Mailing Address - Street 2:UNIT 14
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-1556
Mailing Address - Country:US
Mailing Address - Phone:801-261-0050
Mailing Address - Fax:801-228-0050
Practice Address - Street 1:220 E 3900 S
Practice Address - Street 2:UNIT 14
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-1556
Practice Address - Country:US
Practice Address - Phone:801-261-0050
Practice Address - Fax:801-228-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health