Provider Demographics
NPI:1922143619
Name:CASPIAN HOME HEALTH, INC.
Entity Type:Organization
Organization Name:CASPIAN HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GELAREH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSTAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-618-8669
Mailing Address - Street 1:1861 S BUNDY DR STE 213
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5201
Mailing Address - Country:US
Mailing Address - Phone:818-618-8669
Mailing Address - Fax:661-287-3452
Practice Address - Street 1:1861 S BUNDY DR STE 213
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5201
Practice Address - Country:US
Practice Address - Phone:818-618-8669
Practice Address - Fax:661-287-3452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health