MEDICARE: CALIFORNIA PEOPLE'S 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

General Provider Information

NPI Number	:	1508274275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA PEOPLE'S HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	12011 VICTORY BLVD STE 205
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3330
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12011 VICTORY BLVD STE 205
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3330
Country	:	US
Telephone Number	:	818-980-0087
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GOAR KARAPETYAN
Credential	:
Telephone Number	:	818-980-0087

Provider Enumeration Date	:	07/25/2014
Last Update Date	:	07/25/2014

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