Provider Demographics
NPI:1760148118
Name:SELECTCARE HOME HEALTH
Entity Type:Organization
Organization Name:SELECTCARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SOFI
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-800-2151
Mailing Address - Street 1:7335 TOPANGA CANYON BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1255
Mailing Address - Country:US
Mailing Address - Phone:747-800-2151
Mailing Address - Fax:
Practice Address - Street 1:7335 TOPANGA CANYON BLVD STE 201
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1255
Practice Address - Country:US
Practice Address - Phone:747-800-2151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health