Provider Demographics
NPI:1760081210
Name:DEDICATED HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:DEDICATED HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GAGIK
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-654-6500
Mailing Address - Street 1:17815 VENTURA BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3610
Mailing Address - Country:US
Mailing Address - Phone:818-654-6500
Mailing Address - Fax:833-320-1568
Practice Address - Street 1:17815 VENTURA BLVD STE 211
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3610
Practice Address - Country:US
Practice Address - Phone:818-654-6500
Practice Address - Fax:833-320-1568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-25
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health