Provider Demographics
NPI:1609225630
Name:SAMARITAN HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:SAMARITAN HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:V
Authorized Official - Last Name:HATAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-779-0762
Mailing Address - Street 1:6470 VAN NUYS BLVD
Mailing Address - Street 2:SUITE #E
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1494
Mailing Address - Country:US
Mailing Address - Phone:818-779-0762
Mailing Address - Fax:818-600-2433
Practice Address - Street 1:6470 VAN NUYS BLVD
Practice Address - Street 2:SUITE #E
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1494
Practice Address - Country:US
Practice Address - Phone:818-779-0762
Practice Address - Fax:818-600-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health