Healthcare Provider Details

I. General information

NPI: 1083045595
Provider Name (Legal Business Name): HOME OF COMPASSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2013
Last Update Date: 12/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13276 TERRA BELLA ST
PACOIMA CA
91331-3105
US

IV. Provider business mailing address

13276 TERRA BELLA ST
PACOIMA CA
91331-3105
US

V. Phone/Fax

Practice location:
  • Phone: 818-554-4769
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: GEYANEH VARTANIAN
Title or Position: OWNER
Credential:
Phone: 818-554-4769