Provider Demographics
NPI:1942780630
Name:FORTUNA HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:FORTUNA HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HASMIK
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALEXANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-561-4170
Mailing Address - Street 1:1010 W MAGNOLIA BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1650
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1010 W MAGNOLIA BLVD STE 109
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1650
Practice Address - Country:US
Practice Address - Phone:818-561-4170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health