Healthcare Provider Details

I. General information

NPI: 1972067320
Provider Name (Legal Business Name): CREDO HOME HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2019
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 W BURBANK BLVD STE 104
BURBANK CA
91505-2115
US

IV. Provider business mailing address

3800 W BURBANK BLVD STE 104
BURBANK CA
91505-2115
US

V. Phone/Fax

Practice location:
  • Phone: 408-315-4908
  • Fax: 805-285-0188
Mailing address:
  • Phone: 408-315-4908
  • Fax: 805-285-0188

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: VARUJAN NAJARYAN
Title or Position: CEO
Credential:
Phone: 747-212-0555