MEDICARE: NEX-GEN HOME HEALTH CARE, 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	:	1518698729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEX-GEN HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	1737 E WASHINGTON BLVD STE 4
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2771
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1737 E WASHINGTON BLVD STE 4
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2771
Country	:	US
Telephone Number	:	818-495-5562
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ARTUR ISHKHANYAN
Credential	:
Telephone Number	:	818-495-5562

Provider Enumeration Date	:	06/19/2022
Last Update Date	:	02/19/2024

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