Healthcare Provider Details

I. General information

NPI: 1649286030
Provider Name (Legal Business Name): AMERICAN UNITED HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 11/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13111 VENTURA BLVD
STUDIO CITY CA
91604-2218
US

IV. Provider business mailing address

13111 VENTURA BLVD
STUDIO CITY CA
91604-2218
US

V. Phone/Fax

Practice location:
  • Phone: 818-386-6358
  • Fax: 818-386-6367
Mailing address:
  • Phone: 818-386-6358
  • Fax: 818-386-6367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980000988
License Number StateCA

VIII. Authorized Official

Name: MS. ANN KOSHY
Title or Position: CEO
Credential: RN
Phone: 818-386-6358