Provider Demographics
NPI:1689260028
Name:DIRECT HOME CARE
Entity Type:Organization
Organization Name:DIRECT HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOVHANES
Authorized Official - Middle Name:
Authorized Official - Last Name:KARTOUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-255-5777
Mailing Address - Street 1:936 W AVENUE J4 STE 201
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4246
Mailing Address - Country:US
Mailing Address - Phone:661-255-5777
Mailing Address - Fax:661-255-4443
Practice Address - Street 1:936 W AVENUE J4 STE 201
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4246
Practice Address - Country:US
Practice Address - Phone:661-255-5777
Practice Address - Fax:661-255-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-20
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health