Healthcare Provider Details

I. General information

NPI: 1013649847
Provider Name (Legal Business Name): PARAGON HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 06/29/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W LEXINGTON DR STE 317A
GLENDALE CA
91203-2203
US

IV. Provider business mailing address

121 W LEXINGTON DR STE 317A
GLENDALE CA
91203-2203
US

V. Phone/Fax

Practice location:
  • Phone: 818-480-3576
  • Fax: 747-221-3989
Mailing address:
  • Phone: 818-480-3576
  • Fax: 747-221-3989

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: MS. LOLITA EMILY MKRTCHYAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 818-480-3576