Provider Demographics
NPI:1558764324
Name:V A HOME HEALTH 2 INC
Entity Type:Organization
Organization Name:V A HOME HEALTH 2 INC
Other - Org Name:V A HOME HEALTH 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHADIMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-224-5538
Mailing Address - Street 1:6710 N 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-4121
Mailing Address - Country:US
Mailing Address - Phone:833-224-5538
Mailing Address - Fax:833-424-5538
Practice Address - Street 1:1954 HIGHWAY 95 STE 2A
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-6751
Practice Address - Country:US
Practice Address - Phone:833-224-5538
Practice Address - Fax:833-424-5538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA6832251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health