Healthcare Provider Details

I. General information

NPI: 1467824417
Provider Name (Legal Business Name): VETERAN'S HOME HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2015
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1546 VICTORY BLVD SUITE B
GLENDALE CA
91201-2913
US

IV. Provider business mailing address

4000 W MAGNOLIA BLVD STE L
BURBANK CA
91505-2827
US

V. Phone/Fax

Practice location:
  • Phone: 818-483-6021
  • Fax:
Mailing address:
  • Phone: 818-483-6021
  • 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. KARINE SIGAL
Title or Position: PRESIDENT
Credential:
Phone: 818-483-6021