Healthcare Provider Details

I. General information

NPI: 1639825094
Provider Name (Legal Business Name): SIX HARMONY HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7324 SEPULVEDA BLVD STE 180
VAN NUYS CA
91405-5033
US

IV. Provider business mailing address

7324 SEPULVEDA BLVD STE 180
VAN NUYS CA
91405-5033
US

V. Phone/Fax

Practice location:
  • Phone: 747-345-3001
  • Fax: 747-345-3002
Mailing address:
  • Phone: 747-345-3001
  • Fax: 747-345-3002

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: POGHOS KARAMINASYAN
Title or Position: CEO
Credential:
Phone: 747-345-3001