Provider Demographics
NPI:1770159444
Name:FOREVER HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:FOREVER HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-590-1215
Mailing Address - Street 1:3504 W MAGNOLIA BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2911
Mailing Address - Country:US
Mailing Address - Phone:323-590-1215
Mailing Address - Fax:323-400-2781
Practice Address - Street 1:3504 W MAGNOLIA BLVD STE 212
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2911
Practice Address - Country:US
Practice Address - Phone:323-590-1215
Practice Address - Fax:323-400-2781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health