Provider Demographics
NPI:1508588286
Name:HEALTH SPOT HOME HEALTH
Entity Type:Organization
Organization Name:HEALTH SPOT HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUKHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-726-4638
Mailing Address - Street 1:4121 PENNSYLVANIA AVE STE J
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3707
Mailing Address - Country:US
Mailing Address - Phone:323-247-8089
Mailing Address - Fax:323-375-9059
Practice Address - Street 1:4121 PENNSYLVANIA AVE STE J
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91214-3707
Practice Address - Country:US
Practice Address - Phone:323-247-8089
Practice Address - Fax:323-375-9059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health