Provider Demographics
NPI:1659003408
Name:UNIMED HOME HEALTH INC
Entity Type:Organization
Organization Name:UNIMED HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:EDUARDA
Authorized Official - Last Name:MANASYAN-GAIECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-536-7316
Mailing Address - Street 1:225 E BROADWAY STE 102A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1008
Mailing Address - Country:US
Mailing Address - Phone:818-536-7316
Mailing Address - Fax:747-221-4448
Practice Address - Street 1:225 E BROADWAY STE 102A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1008
Practice Address - Country:US
Practice Address - Phone:818-536-7316
Practice Address - Fax:747-221-4448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health