Provider Demographics
NPI:1700461977
Name:WHITE ROSE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:WHITE ROSE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO, SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:VAHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:OVASAPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-654-6148
Mailing Address - Street 1:7012 RESEDA BLVD STE 201B
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4219
Mailing Address - Country:US
Mailing Address - Phone:818-654-6148
Mailing Address - Fax:818-936-0980
Practice Address - Street 1:7012 RESEDA BLVD STE 201B
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4219
Practice Address - Country:US
Practice Address - Phone:818-654-6148
Practice Address - Fax:818-936-0980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health