Provider Demographics
NPI:1265135297
Name:BAYAZET HOME HEALTH, INC.
Entity type:Organization
Organization Name:BAYAZET HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KHNKOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-313-7447
Mailing Address - Street 1:7590 N GLENOAKS BLVD STE 23
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-1003
Mailing Address - Country:US
Mailing Address - Phone:747-313-7447
Mailing Address - Fax:747-444-4048
Practice Address - Street 1:7590 N GLENOAKS BLVD STE 23
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-1003
Practice Address - Country:US
Practice Address - Phone:747-313-7447
Practice Address - Fax:747-444-4048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty