=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912578071
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | E & A HOME HEALTH CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2021
-----------------------------------------------------
Last Update Date | 07/08/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 23133 HAWTHORNE BLVD STE B02
-----------------------------------------------------
City | TORRANCE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90505-3776
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-531-5424
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23133 HAWTHORNE BLVD STE B02
-----------------------------------------------------
City | TORRANCE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90505-3776
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-531-5424
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | KARMEN TOVMASYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-531-5424
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------