Provider Demographics
NPI:1669042156
Name:PROTECTIVE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:PROTECTIVE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARTANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-660-2364
Mailing Address - Street 1:221 E GLENOAKS BLVD # 222A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-2085
Mailing Address - Country:US
Mailing Address - Phone:818-660-2364
Mailing Address - Fax:818-660-2365
Practice Address - Street 1:221 E GLENOAKS BLVD # 222A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-2085
Practice Address - Country:US
Practice Address - Phone:818-660-2364
Practice Address - Fax:818-660-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health