Provider Demographics
NPI:1609651439
Name:ELG HOME CARE
Entity Type:Organization
Organization Name:ELG HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-319-5139
Mailing Address - Street 1:5414 OBERLIN DR STE 230
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-4744
Mailing Address - Country:US
Mailing Address - Phone:858-281-1588
Mailing Address - Fax:858-777-1721
Practice Address - Street 1:5414 OBERLIN DR STE 230
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-4744
Practice Address - Country:US
Practice Address - Phone:858-281-1588
Practice Address - Fax:858-777-1721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health