Provider Demographics
NPI:1790367191
Name:ELITE COMFORT HOME HEALTH CARE
Entity Type:Organization
Organization Name:ELITE COMFORT HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYUZANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-444-1303
Mailing Address - Street 1:21405 DEVONSHIRE ST STE 221
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2941
Mailing Address - Country:US
Mailing Address - Phone:747-444-1303
Mailing Address - Fax:747-444-1281
Practice Address - Street 1:21405 DEVONSHIRE ST STE 221
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2941
Practice Address - Country:US
Practice Address - Phone:747-444-1303
Practice Address - Fax:747-444-1281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-25
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health