MEDICARE: ADVANCED SOLUTIONS HOME HEALTH CARE

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	:	1619548807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SOLUTIONS HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	2450 COLORADO AVE STE 100E305
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-3575
Country	:	US
Telephone Number	:	424-877-0807
Fax Number	:	818-925-3292

Provider Business Practice Location Address
First Line	:	2450 COLORADO AVE STE 100E305
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-3575
Country	:	US
Telephone Number	:	424-877-0807
Fax Number	:	818-925-3292

Authorized Official
Title or Position	:	CEO
Name	:	GEVORG SHAHBAZYAN
Credential	:
Telephone Number	:	424-877-0807

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	07/08/2021

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