Provider Demographics
NPI:1265024707
Name:ATHELLA HOME HEALTH INC
Entity type:Organization
Organization Name:ATHELLA HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SARGIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GADYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-388-4045
Mailing Address - Street 1:14664 VICTORY BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1621
Mailing Address - Country:US
Mailing Address - Phone:661-388-4045
Mailing Address - Fax:
Practice Address - Street 1:14664 VICTORY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1621
Practice Address - Country:US
Practice Address - Phone:661-388-4045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health