Provider Demographics
NPI:1841647328
Name:VINELAND HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:VINELAND HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-623-4945
Mailing Address - Street 1:6005 VINELAND AVE
Mailing Address - Street 2:SUITE 213
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4981
Mailing Address - Country:US
Mailing Address - Phone:818-623-4945
Mailing Address - Fax:818-301-2022
Practice Address - Street 1:6005 VINELAND AVE
Practice Address - Street 2:SUITE 213
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4981
Practice Address - Country:US
Practice Address - Phone:818-623-4945
Practice Address - Fax:818-301-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health