Provider Demographics
NPI:1790200913
Name:VIGOROUS HOME HEALTH CARE
Entity Type:Organization
Organization Name:VIGOROUS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAID
Authorized Official - Middle Name:
Authorized Official - Last Name:MATINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-666-0880
Mailing Address - Street 1:17620 SHERMAN WAY STE 214
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3527
Mailing Address - Country:US
Mailing Address - Phone:818-660-0880
Mailing Address - Fax:818-660-0880
Practice Address - Street 1:17620 SHERMAN WAY
Practice Address - Street 2:UNIT 214
Practice Address - City:SHERMAN WAY
Practice Address - State:CA
Practice Address - Zip Code:91406-3527
Practice Address - Country:US
Practice Address - Phone:818-660-0880
Practice Address - Fax:818-660-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health