Provider Demographics
NPI:1588038715
Name:PRN HOME HEALTH, INC.
Entity Type:Organization
Organization Name:PRN HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKOBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-646-7677
Mailing Address - Street 1:5032 LANKERSHIM BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4245
Mailing Address - Country:US
Mailing Address - Phone:818-646-7677
Mailing Address - Fax:818-960-0207
Practice Address - Street 1:5032 LANKERSHIM BLVD STE 1
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4245
Practice Address - Country:US
Practice Address - Phone:818-646-7677
Practice Address - Fax:818-960-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-27
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health