Healthcare Provider Details

I. General information

NPI: 1457936841
Provider Name (Legal Business Name): TOP TIER HOME HEALTH AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 W COLORADO ST
GLENDALE CA
91204-1104
US

IV. Provider business mailing address

626 W COLORADO ST
GLENDALE CA
91204-1104
US

V. Phone/Fax

Practice location:
  • Phone: 818-606-5313
  • Fax:
Mailing address:
  • Phone: 818-606-5313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LUSINE TOPALIAN
Title or Position: PRESIDENT
Credential:
Phone: 818-606-5313