Provider Demographics
NPI:1811588387
Name:EARLY BIRD HOME HEALTH
Entity type:Organization
Organization Name:EARLY BIRD HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-287-0066
Mailing Address - Street 1:3827 E COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3935
Mailing Address - Country:US
Mailing Address - Phone:818-287-0066
Mailing Address - Fax:833-833-1900
Practice Address - Street 1:3827 E COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3935
Practice Address - Country:US
Practice Address - Phone:818-287-0066
Practice Address - Fax:833-833-1900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LP HOLDINGS GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-28
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health