Healthcare Provider Details

I. General information

NPI: 1578808515
Provider Name (Legal Business Name): HOME OF COMPASSION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2012
Last Update Date: 12/03/2012
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 Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

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