Provider Demographics
NPI:1720247059
Name:SPECTRUM HOME HEALTH SERVICES, INCORPORATED
Entity Type:Organization
Organization Name:SPECTRUM HOME HEALTH SERVICES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNESYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-799-6666
Mailing Address - Street 1:907 S. VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-9071
Mailing Address - Country:US
Mailing Address - Phone:818-799-6666
Mailing Address - Fax:818-848-2094
Practice Address - Street 1:907 S. VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-9071
Practice Address - Country:US
Practice Address - Phone:818-799-6666
Practice Address - Fax:818-848-2094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health