Healthcare Provider Details
I. General information
NPI: 1508628876
Provider Name (Legal Business Name): SAVIOR HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2024
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11360 VENTURA BLVD UNIT C
STUDIO CITY CA
91604-3139
US
IV. Provider business mailing address
11360 VENTURA BLVD UNIT C
STUDIO CITY CA
91604-3139
US
V. Phone/Fax
- Phone: 747-441-1106
- Fax: 747-441-1107
- Phone: 747-441-1106
- Fax: 747-441-1107
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
EGHIAN
Title or Position: CEO
Credential:
Phone: 747-441-1106