Healthcare Provider Details

I. General information

NPI: 1124770623
Provider Name (Legal Business Name): BRAVO HOME HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7576 FOOTHILL BLVD
TUJUNGA CA
91042-2117
US

IV. Provider business mailing address

7576 FOOTHILL BLVD
TUJUNGA CA
91042-2117
US

V. Phone/Fax

Practice location:
  • Phone: 818-253-9850
  • Fax:
Mailing address:
  • Phone: 818-253-9850
  • Fax:

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: MR. ARMEN SOGHOMONYAN
Title or Position: CEO
Credential:
Phone: 818-253-9850