Healthcare Provider Details

I. General information

NPI: 1972641579
Provider Name (Legal Business Name): QUEST HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E OLIVE AVE STE 116
BURBANK CA
91502-1849
US

IV. Provider business mailing address

11631 VICTORY BLVD STE 204
NORTH HOLLYWOOD CA
91606-3572
US

V. Phone/Fax

Practice location:
  • Phone: 818-480-0007
  • Fax:
Mailing address:
  • Phone: 818-765-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number550000713
License Number StateCA

VIII. Authorized Official

Name: ANNA NSHANYAN
Title or Position: CEO
Credential:
Phone: 818-480-0007