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NPI Code Detail

MEDICARE: RESTORATIVE HOME HEALTH

MEDICARE: RESTORATIVE 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1306442967
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESTORATIVE HOME HEALTH
Provider Business Mailing Address
First Line : 125 S LOUISE ST STE 18
Second Line :
City : GLENDALE
State : CA
Zip : 91205-1024
Country : US
Telephone Number : 818-275-2271
Fax Number :
Provider Business Practice Location Address
First Line : 125 S LOUISE ST STE 18
Second Line :
City : GLENDALE
State : CA
Zip : 91205-1024
Country : US
Telephone Number : 818-937-9104
Fax Number : 818-937-9108
Authorized Official
Title or Position : CEO
Name : ARTAK HAMBARDZUMYAN
Credential :
Telephone Number : 818-937-9104
Provider Enumeration Date : 12/09/2020
Last Update Date : 05/02/2025

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Directions to “RESTORATIVE HOME HEALTH ” Practice Location

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