Provider Demographics
NPI:1861017881
Name:LA HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:LA HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KHACHATUR
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-484-7780
Mailing Address - Street 1:1012 E COLORADO ST STE 200
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4548
Mailing Address - Country:US
Mailing Address - Phone:818-484-7780
Mailing Address - Fax:818-484-7786
Practice Address - Street 1:1012 E COLORADO ST STE 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4548
Practice Address - Country:US
Practice Address - Phone:818-484-7780
Practice Address - Fax:818-484-7786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health