Provider Demographics
NPI:1396466520
Name:WILLOW HEALTHCARE SERVICES
Entity type:Organization
Organization Name:WILLOW HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANAHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVANISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-878-4159
Mailing Address - Street 1:8932 RESEDA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-5827
Mailing Address - Country:US
Mailing Address - Phone:800-878-4159
Mailing Address - Fax:800-878-4159
Practice Address - Street 1:8932 RESEDA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-5827
Practice Address - Country:US
Practice Address - Phone:800-878-4159
Practice Address - Fax:800-878-4159
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KHAH INVESTMENTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-06
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health