Provider Demographics
NPI:1790443547
Name:CARE AGENCY HOME HEALTH
Entity Type:Organization
Organization Name:CARE AGENCY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:NONA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNIATYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-484-5655
Mailing Address - Street 1:5406 SAN FERNANDO RD STE 203
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2857
Mailing Address - Country:US
Mailing Address - Phone:818-484-5655
Mailing Address - Fax:
Practice Address - Street 1:5406 SAN FERNANDO RD STE 203
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2857
Practice Address - Country:US
Practice Address - Phone:818-484-5655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health