Provider Demographics
NPI:1891463246
Name:RELIABLE NURSING CARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:RELIABLE NURSING CARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO, SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:HAYKANUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-777-9009
Mailing Address - Street 1:707 S BROADWAY STE 1112
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-2814
Mailing Address - Country:US
Mailing Address - Phone:424-777-9009
Mailing Address - Fax:310-388-1190
Practice Address - Street 1:707 S BROADWAY STE 1112
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014-2814
Practice Address - Country:US
Practice Address - Phone:424-777-9009
Practice Address - Fax:310-388-1190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health