Provider Demographics
NPI:1205570900
Name:CITY OF ANGELES HOME HEALTH INC
Entity type:Organization
Organization Name:CITY OF ANGELES HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO,CEO,SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ARSHAK
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-601-1517
Mailing Address - Street 1:5106 HOLLYWOOD BLVD UNIT 202
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027
Mailing Address - Country:US
Mailing Address - Phone:323-601-1517
Mailing Address - Fax:232-538-0339
Practice Address - Street 1:5106 HOLLYWOOD BLVD UNIT 202
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-601-1517
Practice Address - Fax:232-538-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health