Provider Demographics
NPI:1649768946
Name:SLM HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:SLM HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:REVAZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-877-4811
Mailing Address - Street 1:123 W AVENUE J5 STE A
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4416
Mailing Address - Country:US
Mailing Address - Phone:661-877-4811
Mailing Address - Fax:661-877-4822
Practice Address - Street 1:123 W AVENUE J5 STE A
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4416
Practice Address - Country:US
Practice Address - Phone:661-877-4811
Practice Address - Fax:661-877-4822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health