MEDICARE: ORION 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	550002423	CA

General Provider Information

NPI Number	:	1558610451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORION HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	10137 RIVERSIDE DR STE B
Second Line	:
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91602-2509
Country	:	US
Telephone Number	:	818-649-1064
Fax Number	:	818-649-1065

Provider Business Practice Location Address
First Line	:	10137 RIVERSIDE DR STE B
Second Line	:
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91602-2509
Country	:	US
Telephone Number	:	818-649-1064
Fax Number	:	818-649-1065

Authorized Official
Title or Position	:	CEO
Name	:	ASHOT POGOSYAN
Credential	:
Telephone Number	:	818-649-1064

Provider Enumeration Date	:	09/06/2012
Last Update Date	:	07/28/2015

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