Healthcare Provider Details

I. General information

NPI: 1083360317
Provider Name (Legal Business Name): EV HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1337 E COLORADO ST STE 1339
GLENDALE CA
91205-1462
US

IV. Provider business mailing address

1337 E COLORADO ST STE 1339
GLENDALE CA
91205-1462
US

V. Phone/Fax

Practice location:
  • Phone: 747-267-2050
  • Fax: 747-291-0021
Mailing address:
  • Phone: 747-267-2050
  • Fax: 747-291-0021

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: SUREN VARDIKYAN
Title or Position: CEO,CFO,SECRETARY
Credential:
Phone: 747-267-2050