Provider Demographics
NPI:1396498150
Name:FAST RECOVERY HOME CARE INC
Entity type:Organization
Organization Name:FAST RECOVERY HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VARDUI
Authorized Official - Middle Name:
Authorized Official - Last Name:EKIMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-473-5352
Mailing Address - Street 1:13749 VICTORY BLVD UNIT D
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2348
Mailing Address - Country:US
Mailing Address - Phone:818-473-5352
Mailing Address - Fax:
Practice Address - Street 1:13749 VICTORY BLVD UNIT D
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2348
Practice Address - Country:US
Practice Address - Phone:818-473-5352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health