Provider Demographics
NPI:1578614533
Name:AAA HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:AAA HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRMOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-244-0698
Mailing Address - Street 1:3806 W MAGNOLIA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2819
Mailing Address - Country:US
Mailing Address - Phone:818-244-0698
Mailing Address - Fax:818-244-0696
Practice Address - Street 1:3806 W MAGNOLIA BLVD STE A
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2819
Practice Address - Country:US
Practice Address - Phone:818-244-0698
Practice Address - Fax:818-244-0696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000291251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058410Medicare Oscar/Certification