Provider Demographics
NPI:1497776058
Name:MOTHER THERESA'S HOME HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:MOTHER THERESA'S HOME HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASABYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-505-9099
Mailing Address - Street 1:847 N HOLLYWOOD WAY
Mailing Address - Street 2:#203
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2843
Mailing Address - Country:US
Mailing Address - Phone:818-505-9099
Mailing Address - Fax:818-505-9554
Practice Address - Street 1:847 N HOLLYWOOD WAY
Practice Address - Street 2:#203
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2843
Practice Address - Country:US
Practice Address - Phone:818-505-9099
Practice Address - Fax:818-505-9554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058224Medicare ID - Type Unspecified