MEDICARE: ADVANCED COMFORT HOME HEALTHCARE, 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		CA

General Provider Information

NPI Number	:	1912408378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED COMFORT HOME HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	17050 CHATSWORTH ST STE 222
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-7836
Country	:	US
Telephone Number	:	818-641-8182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2139 TAPO ST STE 213
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93063-3476
Country	:	US
Telephone Number	:	818-641-8182
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VAHE EDY GABRIELYAN
Credential	:
Telephone Number	:	818-641-8182

Provider Enumeration Date	:	02/21/2018
Last Update Date	:	04/21/2023

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