MEDICARE: H & A DEDICATED HOME HEALTH 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	:	1922605815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H & A DEDICATED HOME HEALTH INC

Provider Business Mailing Address
First Line	:	20246 SATICOY ST STE 206
Second Line	:
City	:	WINNETKA
State	:	CA
Zip	:	91306-4433
Country	:	US
Telephone Number	:	747-224-0825
Fax Number	:

Provider Business Practice Location Address
First Line	:	10999 RIVERSIDE DR STE 100
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2239
Country	:	US
Telephone Number	:	747-224-0825
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANNA JANGOIAN
Credential	:
Telephone Number	:	747-224-0825

Provider Enumeration Date	:	10/05/2020
Last Update Date	:	03/05/2024

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