Provider Demographics
NPI:1912575812
Name:AVIDA HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:AVIDA HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIROSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-228-1528
Mailing Address - Street 1:2500 E FOOTHILL BLVD UNIT 425
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3464
Mailing Address - Country:US
Mailing Address - Phone:888-228-1528
Mailing Address - Fax:
Practice Address - Street 1:2500 E FOOTHILL BLVD UNIT 425
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3464
Practice Address - Country:US
Practice Address - Phone:888-228-1528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AVIDA CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-16
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health