MEDICARE: DOE 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	:	1598410847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOE HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	7343 RESEDA BLVD UNIT C
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-3004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7343 RESEDA BLVD UNIT C
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-3004
Country	:	US
Telephone Number	:	619-254-5473
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MARIE DERMENDJIAN
Credential	:
Telephone Number	:	818-618-2873

Provider Enumeration Date	:	02/15/2022
Last Update Date	:	03/10/2026

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Directions to “DOE HOME HEALTH CARE INC ” Practice Location

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