Provider Demographics
NPI:1508452376
Name:IDEAL CHOICE HOME HEALTH
Entity Type:Organization
Organization Name:IDEAL CHOICE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MANOUKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-877-8440
Mailing Address - Street 1:14852 VENTURA BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-5949
Mailing Address - Country:US
Mailing Address - Phone:747-877-8440
Mailing Address - Fax:
Practice Address - Street 1:14852 VENTURA BLVD STE 207
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5949
Practice Address - Country:US
Practice Address - Phone:747-877-8440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health