Provider Demographics
NPI:1821726597
Name:DISTINCTIVE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:DISTINCTIVE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:URFALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-210-0073
Mailing Address - Street 1:12501 CHANDLER BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1958
Mailing Address - Country:US
Mailing Address - Phone:818-210-0073
Mailing Address - Fax:
Practice Address - Street 1:12501 CHANDLER BLVD STE 104
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-1958
Practice Address - Country:US
Practice Address - Phone:818-210-0073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health