MEDICARE: AUTHORIZED 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	163WA2000X	Administrator Registered Nurse

General Provider Information

NPI Number	:	1700494762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUTHORIZED HOME HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	12410 BURBANK BLVD STE 200
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-4732
Country	:	US
Telephone Number	:	818-821-3006
Fax Number	:	818-821-3024

Provider Business Practice Location Address
First Line	:	401 S GLENOAKS BLVD STE 203
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-2707
Country	:	US
Telephone Number	:	818-821-3006
Fax Number	:	818-821-3024

Authorized Official
Title or Position	:	BUSINESS CONSULTANT
Name	:	MRS. AUGUSTA ROSETTA BOHANNON
Credential	:	RN
Telephone Number	:	818-821-5184

Provider Enumeration Date	:	07/16/2020
Last Update Date	:	12/16/2025

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