Provider Demographics
NPI:1790085694
Name:M.G.A. HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:M.G.A. HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AKOP
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-727-0503
Mailing Address - Street 1:3538 W BEVERLY BLVD UNIT E
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-1563
Mailing Address - Country:US
Mailing Address - Phone:323-727-0503
Mailing Address - Fax:323-727-5184
Practice Address - Street 1:3538 W BEVERLY BLVD UNIT E
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-1563
Practice Address - Country:US
Practice Address - Phone:323-727-0503
Practice Address - Fax:323-727-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health