Provider Demographics
NPI:1811588387
Name:EARLY BIRD HOME HEALTH
Entity Type:Organization
Organization Name:EARLY BIRD HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LILIT
Authorized Official - Middle Name:
Authorized Official - Last Name:POGHOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-287-0066
Mailing Address - Street 1:125 S LOUISE ST STE 20
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1024
Mailing Address - Country:US
Mailing Address - Phone:818-287-0066
Mailing Address - Fax:
Practice Address - Street 1:125 S LOUISE ST STE 20
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1024
Practice Address - Country:US
Practice Address - Phone:818-287-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LP HOLDINGS GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health