MEDICARE: G.G.A. 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932678851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G.G.A. HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	2829 N GLENOAKS BLVD STE 202
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2660
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2829 N GLENOAKS BLVD STE 202
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2660
Country	:	US
Telephone Number	:	747-283-1896
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANAHID KARAPETYAN
Credential	:
Telephone Number	:	747-283-1896

Provider Enumeration Date	:	11/20/2018
Last Update Date	:	11/20/2018

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