Provider Demographics
NPI:1780282533
Name:WHITE ORCHID HOME HEALTH
Entity type:Organization
Organization Name:WHITE ORCHID HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PEGAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHANBAKHSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-616-7275
Mailing Address - Street 1:16661 VENTURA BLVD STE 223
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1944
Mailing Address - Country:US
Mailing Address - Phone:818-616-7275
Mailing Address - Fax:
Practice Address - Street 1:16661 VENTURA BLVD STE 223
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1944
Practice Address - Country:US
Practice Address - Phone:818-616-7275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GEVORGYAN INVESTMENTS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-14
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health