Provider Demographics
NPI:1578920740
Name:EXCLUSIVE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:EXCLUSIVE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MADOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-849-5297
Mailing Address - Street 1:6320 VAN NUYS BLVD
Mailing Address - Street 2:502
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2617
Mailing Address - Country:US
Mailing Address - Phone:818-849-5263
Mailing Address - Fax:818-849-5297
Practice Address - Street 1:6320 VAN NUYS BLVD
Practice Address - Street 2:502
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2617
Practice Address - Country:US
Practice Address - Phone:818-849-5263
Practice Address - Fax:818-849-5297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health