Provider Demographics
NPI:1396450581
Name:OLIVE TREE HOME HEALTH INC
Entity type:Organization
Organization Name:OLIVE TREE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAGDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-544-6249
Mailing Address - Street 1:1445 E LOS ANGELES AVE STE 301P
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2829
Mailing Address - Country:US
Mailing Address - Phone:323-544-6249
Mailing Address - Fax:323-457-0293
Practice Address - Street 1:1445 E LOS ANGELES AVE STE 301P
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2829
Practice Address - Country:US
Practice Address - Phone:323-544-6249
Practice Address - Fax:323-457-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health