Healthcare Provider Details

I. General information

NPI: 1497276034
Provider Name (Legal Business Name): V & V HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2017
Last Update Date: 11/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N BRAND BLVD STE 600
GLENDALE CA
91203-2349
US

IV. Provider business mailing address

10236 SAMOA AVE APT 4
TUJUNGA CA
91042-3547
US

V. Phone/Fax

Practice location:
  • Phone: 818-291-6446
  • Fax: 323-417-4752
Mailing address:
  • Phone: 818-918-1592
  • Fax: 323-417-4752

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: VAHIK VARTOOMIAN
Title or Position: CEO
Credential:
Phone: 818-918-1592