Provider Demographics
NPI:1700457496
Name:PRACTITIONERS CARE HOME HEALTH
Entity Type:Organization
Organization Name:PRACTITIONERS CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARUTYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-297-2890
Mailing Address - Street 1:2161 COLORADO BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1251
Mailing Address - Country:US
Mailing Address - Phone:747-297-2890
Mailing Address - Fax:747-297-2891
Practice Address - Street 1:2161 COLORADO BLVD STE 204
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1251
Practice Address - Country:US
Practice Address - Phone:747-297-2890
Practice Address - Fax:747-297-2891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-05
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health