Provider Demographics
NPI:1619541703
Name:LOS CARE HOMEHEALTH INC
Entity Type:Organization
Organization Name:LOS CARE HOMEHEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GOHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMIRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-877-8449
Mailing Address - Street 1:100 N BRAND BLVD STE 640
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2641
Mailing Address - Country:US
Mailing Address - Phone:747-877-8449
Mailing Address - Fax:
Practice Address - Street 1:100 N BRAND BLVD STE 640
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2641
Practice Address - Country:US
Practice Address - Phone:747-877-8449
Practice Address - Fax:310-861-8220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health