MEDICARE: CHARITY SISTERS HOME HEALTH CARE

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	:	1467038133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARITY SISTERS HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	17037 CHATSWORTH ST STE 103
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-5881
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17037 CHATSWORTH ST STE 103
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-5881
Country	:	US
Telephone Number	:	747-300-0750
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TORGOM TATEVOSIAN
Credential	:
Telephone Number	:	747-300-0750

Provider Enumeration Date	:	03/22/2021
Last Update Date	:	12/29/2024

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