MEDICARE: CENTER WELL 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	:	1598596371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER WELL HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	1443 N HIGHLAND AVE STE A
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-7622
Country	:	US
Telephone Number	:	747-474-0003
Fax Number	:	800-407-7370

Provider Business Practice Location Address
First Line	:	1443 N HIGHLAND AVE STE A
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-7622
Country	:	US
Telephone Number	:	747-474-0003
Fax Number	:	800-407-7370

Authorized Official
Title or Position	:	CEO
Name	:	ERIK MKHITARYAN
Credential	:
Telephone Number	:	747-474-0003

Provider Enumeration Date	:	08/12/2024
Last Update Date	:	08/12/2024

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Directions to “CENTER WELL HOME HEALTH, INC. ” Practice Location

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