Provider Demographics
NPI:1851966113
Name:GOLDEN VALLEY HEALTHCARE INC
Entity Type:Organization
Organization Name:GOLDEN VALLEY HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NORAYR
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVHANNISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-297-6433
Mailing Address - Street 1:19231 VICTORY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6330
Mailing Address - Country:US
Mailing Address - Phone:747-297-6433
Mailing Address - Fax:747-297-6434
Practice Address - Street 1:19231 VICTORY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-6330
Practice Address - Country:US
Practice Address - Phone:747-297-6433
Practice Address - Fax:747-297-6434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health