Provider Demographics
NPI:1922780519
Name:COMITY HOME HEALTH, INC.
Entity Type:Organization
Organization Name:COMITY HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:POLUMISKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-809-2329
Mailing Address - Street 1:15720 VENTURA BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2970
Mailing Address - Country:US
Mailing Address - Phone:818-809-2329
Mailing Address - Fax:818-809-2313
Practice Address - Street 1:15720 VENTURA BLVD STE 220
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2970
Practice Address - Country:US
Practice Address - Phone:818-809-2329
Practice Address - Fax:818-809-2313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health