Healthcare Provider Details

I. General information

NPI: 1497520910
Provider Name (Legal Business Name): 911 HOME HEALTH CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19531 VENTURA BLVD UNIT 17
TARZANA CA
91356-2957
US

IV. Provider business mailing address

19531 VENTURA BLVD UNIT 17
TARZANA CA
91356-2957
US

V. Phone/Fax

Practice location:
  • Phone: 818-638-3259
  • Fax: 818-873-5198
Mailing address:
  • Phone: 818-638-3259
  • Fax: 818-873-5198

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: GOHAR SAGHOYAN
Title or Position: CEO
Credential:
Phone: 818-638-3259