Provider Demographics
NPI:1740933548
Name:PEACEFUL HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:PEACEFUL HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AREGA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-297-2868
Mailing Address - Street 1:457 W COLORADO ST STE 202A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1576
Mailing Address - Country:US
Mailing Address - Phone:747-297-2868
Mailing Address - Fax:747-297-2867
Practice Address - Street 1:457 W COLORADO ST STE 202A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1576
Practice Address - Country:US
Practice Address - Phone:747-297-2868
Practice Address - Fax:747-297-2867
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHHC INVESTMENT GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-01
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health