=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487204137
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A&A HOME CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2019
-----------------------------------------------------
Last Update Date | 09/15/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18345 VENTURA BLVD STE 315
-----------------------------------------------------
City | TARZANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91356-4242
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 747-265-6111
-----------------------------------------------------
Fax | 747-265-6111
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18345 VENTURA BLVD STE 315
-----------------------------------------------------
City | TARZANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91356-4242
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 747-265-6111
-----------------------------------------------------
Fax | 747-265-6111
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | ANI AMIRYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 747-265-6111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------