Provider Demographics
NPI:1730664376
Name:HEAL HOME HEALTH, INC.
Entity Type:Organization
Organization Name:HEAL HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINAS
Authorized Official - Middle Name:
Authorized Official - Last Name:AVETISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-930-0332
Mailing Address - Street 1:1041 E SHIELDS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-5051
Mailing Address - Country:US
Mailing Address - Phone:559-570-8520
Mailing Address - Fax:559-570-8704
Practice Address - Street 1:1041 E SHIELDS AVE STE B
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-5051
Practice Address - Country:US
Practice Address - Phone:559-570-8520
Practice Address - Fax:559-570-8704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-29
Last Update Date:2018-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health