Provider Demographics
NPI:1336899079
Name:COMMUNITY HEALTHCARE SERVICES AT HOME, INC.
Entity Type:Organization
Organization Name:COMMUNITY HEALTHCARE SERVICES AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TSARUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-295-5757
Mailing Address - Street 1:15549 DEVONSHIRE ST STE 206
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2648
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15549 DEVONSHIRE ST STE 206
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2648
Practice Address - Country:US
Practice Address - Phone:747-295-5757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health