Healthcare Provider Details

I. General information

NPI: 1427660331
Provider Name (Legal Business Name): EFFA HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2020
Last Update Date: 08/21/2020
Certification Date: 08/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16116 HART ST
VAN NUYS CA
91406-3903
US

IV. Provider business mailing address

16116 HART ST
VAN NUYS CA
91406-3903
US

V. Phone/Fax

Practice location:
  • Phone: 888-815-5153
  • Fax: 818-942-3350
Mailing address:
  • Phone: 888-815-5153
  • Fax: 818-942-3350

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. VIGEN BAGHDASARYAN
Title or Position: CEO
Credential:
Phone: 888-815-5153