Provider Demographics
NPI:1831423102
Name:HG HOME CARE INC
Entity type:Organization
Organization Name:HG HOME CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOVHANNES
Authorized Official - Middle Name:
Authorized Official - Last Name:MKRTCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-556-3321
Mailing Address - Street 1:6422 BELLINGHAM AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1438
Mailing Address - Country:US
Mailing Address - Phone:818-851-6057
Mailing Address - Fax:818-806-0088
Practice Address - Street 1:6422 BELLINGHAM AVE STE 207
Practice Address - Street 2:
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1438
Practice Address - Country:US
Practice Address - Phone:818-851-6057
Practice Address - Fax:818-806-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-19
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000939251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health