Healthcare Provider Details

I. General information

NPI: 1104577048
Provider Name (Legal Business Name): PEACE & HARMONY HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2022
Last Update Date: 01/12/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11350 VENTURA BLVD STE 102
STUDIO CITY CA
91604-3140
US

IV. Provider business mailing address

11350 VENTURA BLVD STE 102
STUDIO CITY CA
91604-3140
US

V. Phone/Fax

Practice location:
  • Phone: 747-262-1676
  • Fax: 747-262-1677
Mailing address:
  • Phone: 747-262-1676
  • Fax: 747-262-1677

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: VAHAGN PAPYAN
Title or Position: CEO
Credential:
Phone: 747-262-1676