Provider Demographics
NPI:1831835651
Name:PARADISO HOME HEALTH, INC.
Entity type:Organization
Organization Name:PARADISO HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRIGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GEVORGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-217-5342
Mailing Address - Street 1:6501 FOOTHILL BLVD STE 104A
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2766
Mailing Address - Country:US
Mailing Address - Phone:747-217-5342
Mailing Address - Fax:
Practice Address - Street 1:6501 FOOTHILL BLVD STE 104A
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2766
Practice Address - Country:US
Practice Address - Phone:747-217-5342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health