MEDICARE: MEDCO HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1083062590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDCO HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	3200 WILSHIRE BLVD STE 1505
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-1318
Country	:	US
Telephone Number	:	213-529-4301
Fax Number	:	213-529-4302

Provider Business Practice Location Address
First Line	:	3200 WILSHIRE BLVD STE 1505
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-1318
Country	:	US
Telephone Number	:	213-529-4301
Fax Number	:	213-529-4302

Authorized Official
Title or Position	:	CEO
Name	:	VACHE KHANOYAN
Credential	:
Telephone Number	:	213-529-4301

Provider Enumeration Date	:	05/25/2016
Last Update Date	:	10/21/2024

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