Healthcare Provider Details

I. General information

NPI: 1336717339
Provider Name (Legal Business Name): SPEEDY HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 S JACKSON ST STE 302A
GLENDALE CA
91205-4921
US

IV. Provider business mailing address

126 S JACKSON ST STE 302A
GLENDALE CA
91205-4921
US

V. Phone/Fax

Practice location:
  • Phone: 818-934-7755
  • Fax: 818-502-9997
Mailing address:
  • Phone: 818-934-7755
  • Fax: 818-502-9997

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: GEVORK HAROUTUNIAN
Title or Position: CEO
Credential:
Phone: 818-934-7755