Provider Demographics
NPI:1578007902
Name:ICURE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ICURE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYUZANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:YERANOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-935-6140
Mailing Address - Street 1:6742 VAN NUYS BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4641
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6742 VAN NUYS BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4641
Practice Address - Country:US
Practice Address - Phone:818-935-6140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-03
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health