Provider Demographics
NPI:1891273181
Name:COLORADO RIVER HOME HEALTH
Entity Type:Organization
Organization Name:COLORADO RIVER HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-278-8343
Mailing Address - Street 1:1406 BAILEY AVE STE H
Mailing Address - Street 2:
Mailing Address - City:NEEDLES
Mailing Address - State:CA
Mailing Address - Zip Code:92363-3115
Mailing Address - Country:US
Mailing Address - Phone:909-278-8343
Mailing Address - Fax:909-498-8790
Practice Address - Street 1:1406 BAILEY AVE STE H
Practice Address - Street 2:
Practice Address - City:NEEDLES
Practice Address - State:CA
Practice Address - Zip Code:92363-3115
Practice Address - Country:US
Practice Address - Phone:909-278-8343
Practice Address - Fax:909-498-8790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health