Provider Demographics
NPI:1518506013
Name:CONNECT HEALTHCARE LLC
Entity Type:Organization
Organization Name:CONNECT HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PEYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-280-3850
Mailing Address - Street 1:9700 RESEDA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-5510
Mailing Address - Country:US
Mailing Address - Phone:818-280-3850
Mailing Address - Fax:818-280-3850
Practice Address - Street 1:9700 RESEDA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-5510
Practice Address - Country:US
Practice Address - Phone:818-280-3850
Practice Address - Fax:818-280-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-31
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health