Provider Demographics
NPI:1508098195
Name:TOP LINE HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:TOP LINE HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARMENUHI
Authorized Official - Middle Name:
Authorized Official - Last Name:VANETSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-739-0360
Mailing Address - Street 1:2525 COLORADO BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1062
Mailing Address - Country:US
Mailing Address - Phone:323-739-0360
Mailing Address - Fax:323-474-6918
Practice Address - Street 1:1100 E BROADWAY STE 304
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4628
Practice Address - Country:US
Practice Address - Phone:323-739-0360
Practice Address - Fax:323-474-6918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-14
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001356251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059449Medicare Oscar/Certification