MEDICARE: VERTEX 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	:	1538810395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERTEX HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	758 E COLORADO BLVD STE 202
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-2128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	758 E COLORADO BLVD STE 202
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-2128
Country	:	US
Telephone Number	:	626-248-7161
Fax Number	:	626-228-2554

Authorized Official
Title or Position	:	CEO
Name	:	VLADIMIR GEVORKYAN
Credential	:
Telephone Number	:	626-248-7161

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	11/16/2023

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