Provider Demographics
NPI:1255779187
Name:LAKEWOOD HOME HEALTH & PALLIATIVE CARE INC
Entity type:Organization
Organization Name:LAKEWOOD HOME HEALTH & PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JRBASHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-241-8400
Mailing Address - Street 1:539 N GLENOAKS BLVD
Mailing Address - Street 2:SUITE 301F
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-3201
Mailing Address - Country:US
Mailing Address - Phone:747-241-8400
Mailing Address - Fax:747-241-8401
Practice Address - Street 1:539 N GLENOAKS BLVD
Practice Address - Street 2:SUITE 301F
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-3201
Practice Address - Country:US
Practice Address - Phone:747-241-8400
Practice Address - Fax:747-241-8401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========Medicare Oscar/Certification
C3560239Medicare Oscar/Certification
CAC3560239Medicare Oscar/Certification
CA35B0239Medicare Oscar/Certification