Provider Demographics
NPI:1689331415
Name:NEOMED HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:NEOMED HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHOT
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-658-6325
Mailing Address - Street 1:8904 RESEDA BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3930
Mailing Address - Country:US
Mailing Address - Phone:818-658-6325
Mailing Address - Fax:
Practice Address - Street 1:8904 RESEDA BLVD STE 202
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3930
Practice Address - Country:US
Practice Address - Phone:818-658-6325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANUSMED INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-29
Last Update Date:2021-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health