Provider Demographics
NPI:1609658558
Name:NOURISHING HOME HEALTH CARE
Entity Type:Organization
Organization Name:NOURISHING HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BEJANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-245-5724
Mailing Address - Street 1:12047 0MAGNOLIA BLVD. UNIT F
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2740
Mailing Address - Country:US
Mailing Address - Phone:747-245-5724
Mailing Address - Fax:747-245-5741
Practice Address - Street 1:12047 0MAGNOLIA BLVD. UNIT F
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2740
Practice Address - Country:US
Practice Address - Phone:747-245-5724
Practice Address - Fax:747-245-5741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health