Healthcare Provider Details

I. General information

NPI: 1144966425
Provider Name (Legal Business Name): DM UNITED HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BRAND BLVD STE 527C
GLENDALE CA
91203-4472
US

IV. Provider business mailing address

401 N BRAND BLVD STE 527C
GLENDALE CA
91203-4472
US

V. Phone/Fax

Practice location:
  • Phone: 262-222-0222
  • Fax:
Mailing address:
  • Phone: 262-222-0222
  • Fax:

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: SARGIS MARTIROSYAN
Title or Position: CEO
Credential:
Phone: 262-222-0222