Provider Demographics
NPI:1912572918
Name:MD SECURE HOME HEALTH, INC
Entity Type:Organization
Organization Name:MD SECURE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIGRAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ARUTUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-369-4488
Mailing Address - Street 1:21054 SHERMAN WAY STE 340
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-4517
Mailing Address - Country:US
Mailing Address - Phone:818-369-4488
Mailing Address - Fax:
Practice Address - Street 1:21054 SHERMAN WAY STE 340
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-4517
Practice Address - Country:US
Practice Address - Phone:818-369-4488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health