Healthcare Provider Details

I. General information

NPI: 1073247003
Provider Name (Legal Business Name): ZOOM HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S VICTORY BLVD STE 204
BURBANK CA
91502-2899
US

IV. Provider business mailing address

120 S VICTORY BLVD STE 204
BURBANK CA
91502-2899
US

V. Phone/Fax

Practice location:
  • Phone: 818-861-7178
  • Fax: 818-861-7158
Mailing address:
  • Phone: 818-861-7178
  • Fax: 818-861-7158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ARMEN GRIGORYAN
Title or Position: CEO
Credential:
Phone: 818-861-7178