Provider Demographics
NPI:1548610256
Name:AAA INTERCONNECT CARE INC.
Entity Type:Organization
Organization Name:AAA INTERCONNECT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SLAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:VINNITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-754-1221
Mailing Address - Street 1:6007 LANKERSHIM BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4883
Mailing Address - Country:US
Mailing Address - Phone:818-754-1221
Mailing Address - Fax:818-754-1205
Practice Address - Street 1:6007 LANKERSHIM BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4883
Practice Address - Country:US
Practice Address - Phone:818-754-1221
Practice Address - Fax:818-754-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health