Provider Demographics
NPI:1770860314
Name:AMENITY HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:AMENITY HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUSYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAPARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-509-1805
Mailing Address - Street 1:12722 RIVERSIDE DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3326
Mailing Address - Country:US
Mailing Address - Phone:818-509-1805
Mailing Address - Fax:818-509-1840
Practice Address - Street 1:12722 RIVERSIDE DR
Practice Address - Street 2:SUITE 209
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-3326
Practice Address - Country:US
Practice Address - Phone:818-509-1805
Practice Address - Fax:818-509-1840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health