Provider Demographics
NPI:1811510548
Name:NCM CARE HOME HEALTH
Entity type:Organization
Organization Name:NCM CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-314-7344
Mailing Address - Street 1:8156 REDBUSH LN
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5316
Mailing Address - Country:US
Mailing Address - Phone:323-314-7344
Mailing Address - Fax:323-978-5172
Practice Address - Street 1:303 N GLENOAKS BLVD STE 225
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1116
Practice Address - Country:US
Practice Address - Phone:323-314-7344
Practice Address - Fax:323-978-5172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health