Provider Demographics
NPI:1669254074
Name:RUSH HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:RUSH HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-977-3593
Mailing Address - Street 1:11240 MAGNOLIA BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-3790
Mailing Address - Country:US
Mailing Address - Phone:747-977-3593
Mailing Address - Fax:747-977-3594
Practice Address - Street 1:11240 MAGNOLIA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-3790
Practice Address - Country:US
Practice Address - Phone:747-977-3593
Practice Address - Fax:747-977-3594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health