Provider Demographics
NPI:1962014068
Name:MALTA HOME HEALTH
Entity Type:Organization
Organization Name:MALTA HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HASMIK
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGDASARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-531-5751
Mailing Address - Street 1:7257 VASSAR AVE UNIT 200A
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1257
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7257 VASSAR AVE
Practice Address - Street 2:UNIT 200A
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-4407
Practice Address - Country:US
Practice Address - Phone:818-531-5751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health