MEDICARE: SINAI HOME HEALTHCARE, 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	:	1255599023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINAI HOME HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	4733 LANKERSHIM BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-1803
Country	:	US
Telephone Number	:	866-957-4624
Fax Number	:	818-980-0856

Provider Business Practice Location Address
First Line	:	4733 LANKERSHIM BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-1803
Country	:	US
Telephone Number	:	866-957-4624
Fax Number	:	818-980-0856

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ARTAK BOGOSYAN
Credential	:
Telephone Number	:	866-957-4624

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	05/29/2008

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