Provider Demographics
NPI:1720674161
Name:AVA HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:AVA HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VARDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEVORGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-461-5271
Mailing Address - Street 1:333 N SANTA ANITA AVE STE 13A
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2863
Mailing Address - Country:US
Mailing Address - Phone:626-461-5271
Mailing Address - Fax:626-348-8371
Practice Address - Street 1:333 N SANTA ANITA AVE STE 13A
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2863
Practice Address - Country:US
Practice Address - Phone:626-461-5271
Practice Address - Fax:626-348-8371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-20
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health