MEDICARE: NEXT DOOR HOME 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	:	1104219849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT DOOR HOME CARE, INC.

Provider Business Mailing Address
First Line	:	6829 LANKERSHIM BLVD.
Second Line	:	#12
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605
Country	:	US
Telephone Number	:	818-485-2353
Fax Number	:	818-937-0909

Provider Business Practice Location Address
First Line	:	6829 LANKERSHIM BLVD.
Second Line	:	#12
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605
Country	:	US
Telephone Number	:	818-485-2353
Fax Number	:	818-937-0909

Authorized Official
Title or Position	:	CEO
Name	:	KARAPETYAN GRACHYA
Credential	:
Telephone Number	:	818-485-2353

Provider Enumeration Date	:	03/05/2015
Last Update Date	:	03/06/2015

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Directions to “NEXT DOOR HOME CARE, INC. ” Practice Location

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