Healthcare Provider Details

I. General information

NPI: 1134866155
Provider Name (Legal Business Name): EMO HEALTH HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 05/20/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11053 PENROSE ST STE A
SUN VALLEY CA
91352-5602
US

IV. Provider business mailing address

11053 PENROSE ST STE A
SUN VALLEY CA
91352-5602
US

V. Phone/Fax

Practice location:
  • Phone: 707-777-0280
  • Fax: 707-777-7281
Mailing address:
  • Phone: 707-777-0280
  • Fax: 707-777-7281

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: ARIS TERTERYAN
Title or Position: CEO
Credential:
Phone: 707-777-0280