Provider Demographics
NPI:1760110613
Name:SANTA MARIA HOME HEALTH INC
Entity Type:Organization
Organization Name:SANTA MARIA HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASKOPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-851-6451
Mailing Address - Street 1:9608 VAN NUYS BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-1042
Mailing Address - Country:US
Mailing Address - Phone:818-851-6451
Mailing Address - Fax:818-851-6452
Practice Address - Street 1:9608 VAN NUYS BLVD STE 105
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-1042
Practice Address - Country:US
Practice Address - Phone:818-851-6451
Practice Address - Fax:818-851-6452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health