Provider Demographics
NPI:1891280475
Name:FIDELIA HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:FIDELIA HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SARIBEKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-925-7730
Mailing Address - Street 1:12509 OXNARD ST STE 211
Mailing Address - Street 2:
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4440
Mailing Address - Country:US
Mailing Address - Phone:818-925-7730
Mailing Address - Fax:818-925-7731
Practice Address - Street 1:12509 OXNARD ST STE 211
Practice Address - Street 2:
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4440
Practice Address - Country:US
Practice Address - Phone:818-925-7730
Practice Address - Fax:818-925-7731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-26
Last Update Date:2021-10-07
Deactivation Date:2021-08-27
Deactivation Code:
Reactivation Date:2021-10-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health