MEDICARE: FIFTH AVE HOME HEALTH CARE, 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	550000922	CA

General Provider Information

NPI Number	:	1508068586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIFTH AVE HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	5250 SANTA MONICA BLVD
Second Line	:	SUITE 208 B
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1252
Country	:	US
Telephone Number	:	323-644-6807
Fax Number	:	323-644-6897

Provider Business Practice Location Address
First Line	:	5250 SANTA MONICA BLVD
Second Line	:	SUITE 208 B
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1252
Country	:	US
Telephone Number	:	323-644-6807
Fax Number	:	323-644-6897

Authorized Official
Title or Position	:	CFO
Name	:	MR. ASHOT MINASYAN
Credential	:
Telephone Number	:	818-243-0611

Provider Enumeration Date	:	06/02/2007
Last Update Date	:	01/06/2011

Similar Medicare Providers

1417919507 — GARO ZAVEN PEHLEVANIAN M.D.
Practice Location Address:

5250 SANTA MONICA BLVD , SUITE 207
LOS ANGELES, CA
90029-1252

Practice Phone: 323-664-0857
Practice Fax: 323-664-9702

1306936174 — TARZANA DIAGNOSTIC INC.
Practice Location Address:

5250 SANTA MONICA BLVD , STE 211
LOS ANGELES, CA
90029-1252

Practice Phone: 323-668-2572
Practice Fax: 323-668-2573

1447300504 — ROBERT A GLAZER MD
Practice Location Address:

5250 SANTA MONICA BLVD , SUITE 208
LOS ANGELES, CA
90029-1252

Practice Phone: 323-913-9297
Practice Fax: 323-913-9255

1457575946 — MARIA FURUNJYAN DC
Practice Location Address:

5250 SANTA MONICA BLVD , #213
LOS ANGELES, CA
90029-1252

Practice Phone: 323-666-3221
Practice Fax: 323-666-3221

1477735603 — TER- ZAKARIAN MEDICAL CLINIC AND LABORATORY SERVICES INC
Practice Location Address:

5250 SANTA MONICA BLVD , 310
LOS ANGELES, CA
90029-1252

Practice Phone: 323-663-9831
Practice Fax: 323-668-0955

1952586125 — SHAKE DAVTYAN DC
Practice Location Address:

5250 SANTA MONICA BLVD , SUITE #307
LOS ANGELES, CA
90029-1252

Practice Phone: 323-913-0339
Practice Fax: 323-913-0339

Directions to “FIFTH AVE HOME HEALTH CARE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.