Provider Demographics
NPI:1841802493
Name:CALI CARE HOME HEALTH, INC
Entity Type:Organization
Organization Name:CALI CARE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AVETIS
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-422-8008
Mailing Address - Street 1:1464 E LOS ANGELES AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2889
Mailing Address - Country:US
Mailing Address - Phone:818-514-5424
Mailing Address - Fax:
Practice Address - Street 1:1464 E LOS ANGELES AVE STE 5
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2889
Practice Address - Country:US
Practice Address - Phone:818-514-5424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health