MEDICARE: HIGH QUALITY 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	:	1861813644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH QUALITY HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	11755 VICTORY BLVD
Second Line	:	SUITE 210
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3454
Country	:	US
Telephone Number	:	818-980-7300
Fax Number	:	818-980-7301

Provider Business Practice Location Address
First Line	:	11755 VICTORY BLVD
Second Line	:	SUITE 210
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3454
Country	:	US
Telephone Number	:	818-980-7300
Fax Number	:	818-980-7301

Authorized Official
Title or Position	:	CEO
Name	:	LILIT HOVAKIMYAN
Credential	:
Telephone Number	:	818-980-7300

Provider Enumeration Date	:	12/23/2013
Last Update Date	:	12/23/2013

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