Healthcare Provider Details

I. General information

NPI: 1700549482
Provider Name (Legal Business Name): CREED HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6742 VAN NUYS BLVD STE 111
VAN NUYS CA
91405-4611
US

IV. Provider business mailing address

6742 VAN NUYS BLVD STE 111
VAN NUYS CA
91405-4611
US

V. Phone/Fax

Practice location:
  • Phone: 818-817-6001
  • Fax: 818-817-6011
Mailing address:
  • Phone: 818-817-6001
  • Fax: 818-817-6011

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: KAREN SHIRINYAN
Title or Position: CEO
Credential:
Phone: 818-817-6001