Provider Demographics
NPI:1629737184
Name:AG HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:AG HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GHUKASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-977-5959
Mailing Address - Street 1:7590 N GLENOAKS BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-1011
Mailing Address - Country:US
Mailing Address - Phone:747-977-5959
Mailing Address - Fax:747-977-5957
Practice Address - Street 1:7590 N GLENOAKS BLVD STE 107
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-1011
Practice Address - Country:US
Practice Address - Phone:747-977-5959
Practice Address - Fax:747-977-5957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health