Provider Demographics
NPI:1689331399
Name:A & V HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:A & V HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GZIRANTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-676-5296
Mailing Address - Street 1:3171 LOS FELIZ BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1537
Mailing Address - Country:US
Mailing Address - Phone:888-676-5296
Mailing Address - Fax:
Practice Address - Street 1:3171 LOS FELIZ BLVD STE 302
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1537
Practice Address - Country:US
Practice Address - Phone:888-676-5296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLENDALE INVESTMENT GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health