Provider Demographics
NPI:1598334302
Name:CALI EXPRESS HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:CALI EXPRESS HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SONA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GHEVENYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-531-0555
Mailing Address - Street 1:502 W ROUTE 66 UNIT 18A
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-4343
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:502 W ROUTE 66 UNIT 18A
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-4343
Practice Address - Country:US
Practice Address - Phone:626-531-0555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health