Provider Demographics
NPI:1760577894
Name:THE HOLY CARE GROUP INC
Entity Type:Organization
Organization Name:THE HOLY CARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHATUN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMIRCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-888-7007
Mailing Address - Street 1:22151 VENTURA BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1666
Mailing Address - Country:US
Mailing Address - Phone:818-888-7007
Mailing Address - Fax:818-888-7008
Practice Address - Street 1:22151 VENTURA BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1666
Practice Address - Country:US
Practice Address - Phone:818-888-7007
Practice Address - Fax:818-888-7008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08343FMedicaid
CAHHA08343FMedicaid