MEDICARE: COR MEUM 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	:	1881268738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COR MEUM HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	401 N BRAND BLVD STE 627
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4447
Country	:	US
Telephone Number	:	323-486-7860
Fax Number	:	323-978-4884

Provider Business Practice Location Address
First Line	:	401 N BRAND BLVD STE 627
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4447
Country	:	US
Telephone Number	:	323-486-7860
Fax Number	:	323-978-4884

Authorized Official
Title or Position	:	CEO
Name	:	ARIK SOGHOMONYAN
Credential	:
Telephone Number	:	323-486-4860

Provider Enumeration Date	:	05/15/2021
Last Update Date	:	11/10/2023

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