Provider Demographics
NPI:1518602135
Name:PROACTIVE HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:PROACTIVE HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:AREVIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMBARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-771-7525
Mailing Address - Street 1:15904 STRATHERN ST STE 12
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-1314
Mailing Address - Country:US
Mailing Address - Phone:800-771-7525
Mailing Address - Fax:800-771-7525
Practice Address - Street 1:15904 STRATHERN ST STE 12
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-1314
Practice Address - Country:US
Practice Address - Phone:800-771-7525
Practice Address - Fax:800-771-7525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health