Provider Demographics
NPI:1881317089
Name:CA HOME HEALTH AGENCY, INC.
Entity type:Organization
Organization Name:CA HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMPANI
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTH CARE EXECUTIV
Authorized Official - Phone:424-448-8615
Mailing Address - Street 1:21550 OXNARD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7109
Mailing Address - Country:US
Mailing Address - Phone:424-448-8615
Mailing Address - Fax:
Practice Address - Street 1:21550 OXNARD ST STE 300
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-7109
Practice Address - Country:US
Practice Address - Phone:424-448-8615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health