Healthcare Provider Details

I. General information

NPI: 1689167991
Provider Name (Legal Business Name): ALSON HOME HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 05/09/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 W GLENOAKS BLVD STE D
GLENDALE CA
91201-1995
US

IV. Provider business mailing address

1412 W GLENOAKS BLVD STE D
GLENDALE CA
91201-1995
US

V. Phone/Fax

Practice location:
  • Phone: 818-926-6463
  • Fax:
Mailing address:
  • Phone:
  • 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: HAMLET KORKOTYAN
Title or Position: CEO /CFO
Credential:
Phone: 818-926-6463