MEDICARE: VIGILANCE HOME HEALTH SERVICES, 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	:	1811649445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIGILANCE HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	9501 VAN NUYS BLVD STE 108
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-6970
Country	:	US
Telephone Number	:	800-610-9828
Fax Number	:	800-610-9828

Provider Business Practice Location Address
First Line	:	9501 VAN NUYS BLVD STE 108
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-6970
Country	:	US
Telephone Number	:	800-610-9828
Fax Number	:	800-610-9828

Authorized Official
Title or Position	:	CEO
Name	:	HAGOP INEDZHYAN
Credential	:
Telephone Number	:	800-610-9828

Provider Enumeration Date	:	01/25/2022
Last Update Date	:	01/25/2022

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