Provider Demographics
NPI:1609265339
Name:LIBRA HOME HEALTH CARE. INC.
Entity Type:Organization
Organization Name:LIBRA HOME HEALTH CARE. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KARAPET
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:TIFLIZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-405-9473
Mailing Address - Street 1:1241 S. GLENDALE AVE.
Mailing Address - Street 2:SUITE 304E
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-3204
Mailing Address - Country:US
Mailing Address - Phone:818-405-9473
Mailing Address - Fax:818-459-6995
Practice Address - Street 1:1241 S. GLENDALE AVE.
Practice Address - Street 2:SUITE 304E
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-3204
Practice Address - Country:US
Practice Address - Phone:818-405-9473
Practice Address - Fax:818-459-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000498251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health