Healthcare Provider Details

I. General information

NPI: 1164020780
Provider Name (Legal Business Name): FIRST RELIABLE HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 10/15/2020
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16501 SHERMAN WAY STE 105
VAN NUYS CA
91406-3757
US

IV. Provider business mailing address

16501 SHERMAN WAY STE 105
VAN NUYS CA
91406-3757
US

V. Phone/Fax

Practice location:
  • Phone: 818-478-2029
  • Fax: 818-477-4917
Mailing address:
  • Phone: 818-478-2029
  • Fax: 818-477-4917

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: NAIRA TOROSYAN
Title or Position: CEO
Credential:
Phone: 818-478-2029