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General NPI Number Information
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NPI Number | 1780871863
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Entity Type | Organization
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Legal Business Name | HEALING CARE HOME HEALTH, INC.
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 14545 VICTORY BLVD STE 305
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City | VAN NUYS
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State | CA
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Zip | 91411-1620
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Country | US
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Telephone | 818-901-9216
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Fax | 818-901-9285
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Provider Business Mailing Address
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Address Line | 14545 VICTORY BLVD STE 305
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City | VAN NUYS
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State | CA
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Zip | 91411-1620
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Country | US
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Telephone | 818-901-9216
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Fax | 818-901-9285
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Authorized Official
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Title or Position | CEO
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Name | HASMIK MOVSESYAN
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Credential |
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Telephone | 818-901-9216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 550000949
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License Number State | CA
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