Provider Demographics
NPI:1972791283
Name:WEST COAST HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:WEST COAST HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEVORG
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHVERDYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-796-8949
Mailing Address - Street 1:750 E GREEN ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2120
Mailing Address - Country:US
Mailing Address - Phone:626-796-8949
Mailing Address - Fax:626-796-8949
Practice Address - Street 1:750 E GREEN ST
Practice Address - Street 2:SUITE 302
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2120
Practice Address - Country:US
Practice Address - Phone:626-796-8949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPENDING251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPENDINGMedicaid
CAPENDINGMedicaid