MEDICARE: GOOD CHOICE HOME HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	5500002914	CA

General Provider Information

NPI Number	:	1174950505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD CHOICE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	1117 N HOLLYWOOD WAY
Second Line	:	SUITE B
City	:	BURBANK
State	:	CA
Zip	:	91505-2528
Country	:	US
Telephone Number	:	818-748-0007
Fax Number	:	818-748-0006

Provider Business Practice Location Address
First Line	:	1117 N HOLLYWOOD WAY
Second Line	:	SUITE B
City	:	BURBANK
State	:	CA
Zip	:	91505-2528
Country	:	US
Telephone Number	:	818-748-0007
Fax Number	:	818-748-0006

Authorized Official
Title or Position	:	CEO
Name	:	AREVIK SARGSYAN
Credential	:
Telephone Number	:	818-748-0007

Provider Enumeration Date	:	09/30/2013
Last Update Date	:	03/04/2015

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