Healthcare Provider Details

I. General information

NPI: 1902428162
Provider Name (Legal Business Name): APOLLO HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14081 YORBA ST STE 109
TUSTIN CA
92780-2050
US

IV. Provider business mailing address

14081 YORBA ST STE 109
TUSTIN CA
92780-2050
US

V. Phone/Fax

Practice location:
  • Phone: 818-358-3388
  • Fax:
Mailing address:
  • Phone:
  • 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: KARAPET NANAYAN
Title or Position: CEO
Credential:
Phone: 818-358-3388