Provider Demographics
NPI:1700542461
Name:FASTCARE HOME CARE
Entity Type:Organization
Organization Name:FASTCARE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHOT
Authorized Official - Middle Name:
Authorized Official - Last Name:MISAKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-301-4041
Mailing Address - Street 1:2319 N SAN FERNANDO BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-3352
Mailing Address - Country:US
Mailing Address - Phone:818-301-4041
Mailing Address - Fax:
Practice Address - Street 1:2319 N SAN FERNANDO BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-3352
Practice Address - Country:US
Practice Address - Phone:818-301-4041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health