Provider Demographics
NPI:1851965263
Name:MILAVA HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:MILAVA HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIGRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AVAGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-631-2045
Mailing Address - Street 1:595 E COLORADO BLVD STE 614
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2015
Mailing Address - Country:US
Mailing Address - Phone:626-631-2045
Mailing Address - Fax:626-631-2044
Practice Address - Street 1:595 E COLORADO BLVD STE 614
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2015
Practice Address - Country:US
Practice Address - Phone:626-631-2045
Practice Address - Fax:626-631-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health