Provider Demographics
NPI:1518616523
Name:CALI MED HOME HEALTH, INC.
Entity Type:Organization
Organization Name:CALI MED HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AYRAPETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-937-4466
Mailing Address - Street 1:7017 VAN NUYS BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3095
Mailing Address - Country:US
Mailing Address - Phone:818-937-4466
Mailing Address - Fax:818-937-4466
Practice Address - Street 1:7017 VAN NUYS BLVD STE 2
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3095
Practice Address - Country:US
Practice Address - Phone:818-937-4466
Practice Address - Fax:818-937-4466
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FORTE HOME HEALTH CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-18
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health