MEDICARE: ALMAZ HHA LLC

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	:	1285252825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALMAZ HHA LLC

Provider Business Mailing Address
First Line	:	1007 RALEIGH ST APT 209
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-4261
Country	:	US
Telephone Number	:	818-442-2686
Fax Number	:

Provider Business Practice Location Address
First Line	:	35325 DATE PALM DR STE 152D
Second Line	:
City	:	CATHEDRAL CITY
State	:	CA
Zip	:	92234-7008
Country	:	US
Telephone Number	:	818-442-2686
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MARAT ARUTUNYAN
Credential	:
Telephone Number	:	818-442-2686

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	07/09/2020

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