MEDICARE: METRO 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	980000965	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114924057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO HOME CARE, INC.

Provider Business Mailing Address
First Line	:	16800 DEVONSHIRE ST.
Second Line	:	STE 205
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-7409
Country	:	US
Telephone Number	:	818-709-2277
Fax Number	:	818-709-2272

Provider Business Practice Location Address
First Line	:	18531 ROSCOE BLVD
Second Line	:	#214
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-5444
Country	:	US
Telephone Number	:	818-709-2277
Fax Number	:	818-709-2272

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VIC SOGHOMONIAN
Credential	:
Telephone Number	:	818-709-2277

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/09/2024

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Directions to “METRO HOME CARE, INC. ” Practice Location

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