=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902492341
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PARENTS HOME HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/20/2020
-----------------------------------------------------
Last Update Date | 12/20/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6410 VAN NUYS BLVD STE F207
-----------------------------------------------------
City | VAN NUYS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91401-6263
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 747-666-0640
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6410 VAN NUYS BLVD STE F207
-----------------------------------------------------
City | VAN NUYS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91401-6263
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 747-666-0640
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | GAYANE NERSESYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 747-666-0640
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------