Provider Demographics
NPI:1023697513
Name:SMART MEDICAL HOME HEALTH,INC.
Entity type:Organization
Organization Name:SMART MEDICAL HOME HEALTH,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHSEREJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-818-6461
Mailing Address - Street 1:20832 ROSCOE BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91306-2052
Mailing Address - Country:US
Mailing Address - Phone:818-818-6461
Mailing Address - Fax:818-666-1060
Practice Address - Street 1:20832 ROSCOE BLVD STE 107
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91306-2052
Practice Address - Country:US
Practice Address - Phone:818-818-6461
Practice Address - Fax:818-666-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-03
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health