Healthcare Provider Details

I. General information

NPI: 1831835651
Provider Name (Legal Business Name): PARADISO HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

6501 FOOTHILL BLVD STE 104A
TUJUNGA CA
91042-2766
US

IV. Provider business mailing address

6501 FOOTHILL BLVD STE 104A
TUJUNGA CA
91042-2766
US

V. Phone/Fax

Practice location:
  • Phone: 747-217-5342
  • Fax:
Mailing address:
  • Phone: 747-217-5342
  • 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: GRIGOR GEVORGYAN
Title or Position: CEO
Credential:
Phone: 747-217-5342