Healthcare Provider Details

I. General information

NPI: 1689331415
Provider Name (Legal Business Name): NEOMED HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 12/24/2021
Certification Date: 12/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8904 RESEDA BLVD STE 202
NORTHRIDGE CA
91324-3930
US

IV. Provider business mailing address

8904 RESEDA BLVD STE 202
NORTHRIDGE CA
91324-3930
US

V. Phone/Fax

Practice location:
  • Phone: 818-658-6325
  • Fax:
Mailing address:
  • Phone: 818-658-6325
  • 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: ASHOT HARUTYUNYAN
Title or Position: CEO
Credential:
Phone: 818-658-6325