Provider Demographics
NPI:1497255459
Name:ANTHEM HOME CARE INC.
Entity Type:Organization
Organization Name:ANTHEM HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIHRAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:TASHCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-331-5646
Mailing Address - Street 1:8433 BELLINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-3804
Mailing Address - Country:US
Mailing Address - Phone:818-331-5646
Mailing Address - Fax:
Practice Address - Street 1:8433 BELLINGHAM AVE
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-3804
Practice Address - Country:US
Practice Address - Phone:818-331-5646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care