Provider Demographics
NPI:1689146433
Name:PARADISE HOME HEALTH OF LOS ANGELES INC
Entity Type:Organization
Organization Name:PARADISE HOME HEALTH OF LOS ANGELES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:XEO
Authorized Official - Prefix:
Authorized Official - First Name:KNARIK
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-208-4711
Mailing Address - Street 1:13615 VICTORY BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1769
Mailing Address - Country:US
Mailing Address - Phone:747-208-4711
Mailing Address - Fax:818-736-4524
Practice Address - Street 1:13615 VICTORY BLVD STE 110
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1769
Practice Address - Country:US
Practice Address - Phone:747-208-4711
Practice Address - Fax:818-736-4524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health