MEDICARE: AFFIRM HOME HEALTH

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	:	1134688054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFIRM HOME HEALTH

Provider Business Mailing Address
First Line	:	14545 FRIAR ST STE 202O
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2398
Country	:	US
Telephone Number	:	818-813-5899
Fax Number	:

Provider Business Practice Location Address
First Line	:	14545 FRIAR ST STE 202O
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2398
Country	:	US
Telephone Number	:	818-813-5899
Fax Number	:	805-642-6510

Authorized Official
Title or Position	:	CEO
Name	:	NERSES PATANYAN
Credential	:
Telephone Number	:	818-813-5899

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	03/19/2019

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Directions to “AFFIRM HOME HEALTH ” Practice Location

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