Provider Demographics
NPI:1205446093
Name:HEALTHY AND WELL HOME HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:HEALTHY AND WELL HOME HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOGHOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:MKRTCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-477-4460
Mailing Address - Street 1:7050 OWENSMOUTH AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-4206
Mailing Address - Country:US
Mailing Address - Phone:818-477-4460
Mailing Address - Fax:833-758-3766
Practice Address - Street 1:7050 OWENSMOUTH AVE STE 206
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-4206
Practice Address - Country:US
Practice Address - Phone:818-477-4460
Practice Address - Fax:833-758-3766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health