Provider Demographics
NPI:1770013617
Name:ST. RITA'S HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ST. RITA'S HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DADYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-646-1944
Mailing Address - Street 1:6360 VAN NUYS BLVD STE 233
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6615
Mailing Address - Country:US
Mailing Address - Phone:818-646-1944
Mailing Address - Fax:818-646-1942
Practice Address - Street 1:6360 VAN NUYS BLVD STE 233
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6615
Practice Address - Country:US
Practice Address - Phone:818-646-1944
Practice Address - Fax:818-646-1942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health