Provider Demographics
NPI:1891452637
Name:VA HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:VA HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOFYA
Authorized Official - Middle Name:
Authorized Official - Last Name:POGHOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-345-3034
Mailing Address - Street 1:17157 VENTURA BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-4004
Mailing Address - Country:US
Mailing Address - Phone:747-345-3034
Mailing Address - Fax:747-345-3394
Practice Address - Street 1:17157 VENTURA BLVD STE 3
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4004
Practice Address - Country:US
Practice Address - Phone:747-345-3034
Practice Address - Fax:747-345-3394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-28
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health