Provider Demographics
NPI:1639827967
Name:KAMILLIA HOME HEALTH INC.
Entity Type:Organization
Organization Name:KAMILLIA HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERGAMENSHCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-466-3209
Mailing Address - Street 1:2550 HONOLULU AVE STE 204A
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1860
Mailing Address - Country:US
Mailing Address - Phone:747-399-5818
Mailing Address - Fax:747-399-6555
Practice Address - Street 1:2550 HONOLULU AVE STE 204A
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1860
Practice Address - Country:US
Practice Address - Phone:747-399-5818
Practice Address - Fax:747-399-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health