MEDICARE: HEARTSAVER HOME HEALTH CARE SERVICES, 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	:	1275074155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTSAVER HOME HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	1737 E. WASHINGTON BLVD.
Second Line	:	4
City	:	PASADENA
State	:	CA
Zip	:	91104-2771
Country	:	US
Telephone Number	:	626-714-7700
Fax Number	:	626-510-6114

Provider Business Practice Location Address
First Line	:	1737 E. WASHINGTON BLVD.
Second Line	:	4
City	:	PASADENA
State	:	CA
Zip	:	91104-2771
Country	:	US
Telephone Number	:	626-714-7700
Fax Number	:	626-510-6114

Authorized Official
Title or Position	:	CEO
Name	:	ARA B ASKIKIAN
Credential	:
Telephone Number	:	626-714-7700

Provider Enumeration Date	:	03/13/2017
Last Update Date	:	03/13/2017

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