=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265083521
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AAA HOME CARE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/26/2019
-----------------------------------------------------
Last Update Date | 09/26/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 150 E OLIVE AVE STE 210
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91502-1850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-429-3793
-----------------------------------------------------
Fax | 818-244-0696
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 E OLIVE AVE STE 210
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91502-1850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-429-3793
-----------------------------------------------------
Fax | 818-244-0696
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ANNA DRMOYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-429-3793
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------