MEDICARE: LA METROPOLITAN HOME HEALTH INCORPORATED

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	:	1659321925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA METROPOLITAN HOME HEALTH INCORPORATED

Provider Business Mailing Address
First Line	:	18012 HIAWATHA ST APT 272
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91326-3578
Country	:	US
Telephone Number	:	818-831-7671
Fax Number	:

Provider Business Practice Location Address
First Line	:	18012 HIAWATHA ST APT 272
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91326-3578
Country	:	US
Telephone Number	:	818-831-7671
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GLENN GABRANG
Credential	:
Telephone Number	:	818-831-7671

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/22/2020

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