Provider Demographics
NPI:1679829741
Name:LOTUS HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:LOTUS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MENEDJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-290-3200
Mailing Address - Street 1:6740 KESTER AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4564
Mailing Address - Country:US
Mailing Address - Phone:818-290-3200
Mailing Address - Fax:818-290-3262
Practice Address - Street 1:6740 KESTER AVE STE 202
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4564
Practice Address - Country:US
Practice Address - Phone:818-290-3200
Practice Address - Fax:818-290-3262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health