MEDICARE: COSMOPOLITAN HOME CARE SERVICES

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	:	1275201303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COSMOPOLITAN HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	1737 E WASHINGTON BLVD STE 2
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2743
Country	:	US
Telephone Number	:	626-365-1991
Fax Number	:	626-365-1901

Provider Business Practice Location Address
First Line	:	1737 E WASHINGTON BLVD STE 2
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2743
Country	:	US
Telephone Number	:	626-365-1991
Fax Number	:	626-365-1901

Authorized Official
Title or Position	:	CEO
Name	:	ARA ISKIKIAN
Credential	:
Telephone Number	:	626-365-1991

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	09/02/2021

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