Provider Demographics
NPI:1821668443
Name:PRIMARY SELECTION HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:PRIMARY SELECTION HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ANI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEKSANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-666-1677
Mailing Address - Street 1:15125 VENTURA BLVD STE 2-28
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3306
Mailing Address - Country:US
Mailing Address - Phone:747-666-1677
Mailing Address - Fax:
Practice Address - Street 1:15125 VENTURA BLVD STE 2-28
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3306
Practice Address - Country:US
Practice Address - Phone:747-666-1677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-26
Last Update Date:2021-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health