MEDICARE: R&D 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

General Provider Information

NPI Number	:	1619433448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R&D HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	12158 HAMLIN ST STE 5
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-1433
Country	:	US
Telephone Number	:	213-266-8172
Fax Number	:	213-402-7900

Provider Business Practice Location Address
First Line	:	12158 HAMLIN ST STE 5
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-1433
Country	:	US
Telephone Number	:	213-266-8172
Fax Number	:	213-402-7900

Authorized Official
Title or Position	:	CEO
Name	:	SONA GHAZARYAN
Credential	:
Telephone Number	:	213-266-8172

Provider Enumeration Date	:	02/18/2019
Last Update Date	:	11/28/2023

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