Healthcare Provider Details

I. General information

NPI: 1699343699
Provider Name (Legal Business Name): SOUTHWEST HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 05/17/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 W BURBANK BLVD STE 150B
BURBANK CA
91506-1315
US

IV. Provider business mailing address

1810 W BURBANK BLVD STE 150B
BURBANK CA
91506-1315
US

V. Phone/Fax

Practice location:
  • Phone: 818-903-6511
  • Fax:
Mailing address:
  • Phone: 818-903-6511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NEVART ROSIE BARMAKSZIAN
Title or Position: CEO
Credential:
Phone: 818-903-6511