MEDICARE: GMH HOME HEALTH 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	:	1205378999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GMH HOME HEALTH INC

Provider Business Mailing Address
First Line	:	8001 LAUREL CANYON BLVD STE 206
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-1463
Country	:	US
Telephone Number	:	818-452-4460
Fax Number	:	818-452-4466

Provider Business Practice Location Address
First Line	:	8001 LAUREL CANYON BLVD STE 206
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-1463
Country	:	US
Telephone Number	:	818-452-4460
Fax Number	:	818-452-4466

Authorized Official
Title or Position	:	CEO
Name	:	MS. HASMIK GHAZARIAN
Credential	:
Telephone Number	:	818-452-4460

Provider Enumeration Date	:	11/10/2016
Last Update Date	:	05/03/2018

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