Healthcare Provider Details

I. General information

NPI: 1811649445
Provider Name (Legal Business Name): VIGILANCE HOME HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 VAN NUYS BLVD STE 108
PANORAMA CITY CA
91402-6970
US

IV. Provider business mailing address

9501 VAN NUYS BLVD STE 108
PANORAMA CITY CA
91402-6970
US

V. Phone/Fax

Practice location:
  • Phone: 800-610-9828
  • Fax: 800-610-9828
Mailing address:
  • Phone: 800-610-9828
  • Fax: 800-610-9828

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: HAGOP INEDZHYAN
Title or Position: CEO
Credential:
Phone: 800-610-9828