MEDICARE: AVAILABLE NURSES HOME HEATHCARE

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	:	1881907178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVAILABLE NURSES HOME HEATHCARE

Provider Business Mailing Address
First Line	:	6901 TOPANGA CANYON BLVD STE 202B
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91303-2343
Country	:	US
Telephone Number	:	818-593-5551
Fax Number	:	818-593-5552

Provider Business Practice Location Address
First Line	:	6901 TOPANGA CANYON BLVD STE 202B
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91303-2343
Country	:	US
Telephone Number	:	818-593-5551
Fax Number	:	818-593-5552

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELEGANCE HIPOLYTE
Credential	:
Telephone Number	:	818-593-5551

Provider Enumeration Date	:	07/15/2010
Last Update Date	:	07/15/2010

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