Provider Demographics
NPI:1568617397
Name:ACCESS HOME HEALTH CARE LLC.
Entity Type:Organization
Organization Name:ACCESS HOME HEALTH CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUDBARANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-277-2000
Mailing Address - Street 1:18445 VANOWEN ST
Mailing Address - Street 2:B
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-5324
Mailing Address - Country:US
Mailing Address - Phone:818-277-2000
Mailing Address - Fax:805-715-6544
Practice Address - Street 1:18445 VANOWEN ST
Practice Address - Street 2:B
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-5324
Practice Address - Country:US
Practice Address - Phone:818-277-2011
Practice Address - Fax:805-715-6544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059331Medicare Oscar/Certification