=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386129203
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST SKILLED HOME HEALTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/26/2018
-----------------------------------------------------
Last Update Date | 09/26/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10523 BURBANK BLVD., SUITE 222
-----------------------------------------------------
City | NORTH HOLLYWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91601-2245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-285-9159
-----------------------------------------------------
Fax | 818-301-2266
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10523 BURBANK BLVD., SUITE 222
-----------------------------------------------------
City | NORTH HOLLYWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91601-2245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-285-9159
-----------------------------------------------------
Fax | 818-301-2266
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. SAMVEL AGAZARYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-285-9159
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------