Healthcare Provider Details

I. General information

NPI: 1518611144
Provider Name (Legal Business Name): GMT HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 FOOTHILL BLVD STE 115
LA CRESCENTA CA
91214-4501
US

IV. Provider business mailing address

2600 FOOTHILL BLVD STE 115
LA CRESCENTA CA
91214-4501
US

V. Phone/Fax

Practice location:
  • Phone: 747-877-2702
  • Fax: 747-877-2703
Mailing address:
  • Phone: 747-877-2702
  • Fax: 747-877-2703

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: MR. MHER VARDANYAN
Title or Position: CEO
Credential:
Phone: 747-877-2702