MEDICARE: ADVANCED HOME HEALTH SERVICES, 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

General Provider Information

NPI Number	:	1255712733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	12509 OXNARD ST
Second Line	:	214
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4467
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12509 OXNARD ST
Second Line	:	214
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4467
Country	:	US
Telephone Number	:	818-618-5743
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTINE MKRTCHIAN
Credential	:
Telephone Number	:	818-618-5743

Provider Enumeration Date	:	06/10/2015
Last Update Date	:	06/10/2015

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