Provider Demographics
NPI:1689098519
Name:LEROSE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:LEROSE HOME HEALTH CARE INC
Other - Org Name:LEROSE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAMSHARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-762-2605
Mailing Address - Street 1:12410 BURBANK BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1692
Mailing Address - Country:US
Mailing Address - Phone:818-762-2605
Mailing Address - Fax:818-762-2628
Practice Address - Street 1:12410 BURBANK BLVD
Practice Address - Street 2:STE 201
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-1692
Practice Address - Country:US
Practice Address - Phone:818-762-2605
Practice Address - Fax:818-762-2628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health