Provider Demographics
NPI:1780856948
Name:ARROWHEAD HOME HEALTH INC.
Entity Type:Organization
Organization Name:ARROWHEAD HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:OGANESYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:632-236-3949
Mailing Address - Street 1:17035 N 67TH AVE
Mailing Address - Street 2:STE. 4
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-4511
Mailing Address - Country:US
Mailing Address - Phone:632-236-3949
Mailing Address - Fax:632-236-8912
Practice Address - Street 1:17035 N 67TH AVE
Practice Address - Street 2:STE. 4
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-4511
Practice Address - Country:US
Practice Address - Phone:632-236-3949
Practice Address - Fax:632-236-8912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1423533-0OtherCORPORATION NO.
AZ037270Medicare Oscar/Certification