Provider Demographics
NPI:1558769067
Name:COMPLETE MEDICAL HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:COMPLETE MEDICAL HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:KUSHNIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-785-4270
Mailing Address - Street 1:14328 VICTORY BLVD
Mailing Address - Street 2:201
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1946
Mailing Address - Country:US
Mailing Address - Phone:818-785-4270
Mailing Address - Fax:818-475-1497
Practice Address - Street 1:14328 VICTORY BLVD
Practice Address - Street 2:201
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1946
Practice Address - Country:US
Practice Address - Phone:818-785-4270
Practice Address - Fax:818-475-1497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-15
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health