Provider Demographics
NPI:1922739283
Name:CHIC HOUSE HOME HEALTH INC.
Entity Type:Organization
Organization Name:CHIC HOUSE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-330-9201
Mailing Address - Street 1:3531 N VERDUGO RD STE A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1240
Mailing Address - Country:US
Mailing Address - Phone:818-330-9201
Mailing Address - Fax:818-330-9221
Practice Address - Street 1:3531 N VERDUGO RD STE A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1240
Practice Address - Country:US
Practice Address - Phone:818-330-9201
Practice Address - Fax:818-330-9221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-18
Last Update Date:2022-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health