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NPI Code Detail

MEDICARE: DIRECT CARE HOME HEALTH, INC.

MEDICARE: DIRECT CARE 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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962964502
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIRECT CARE HOME HEALTH, INC.
Provider Business Mailing Address
First Line : 232 N LAKE AVE STE 212
Second Line :
City : PASADENA
State : CA
Zip : 91101-4152
Country : US
Telephone Number : 626-495-0005
Fax Number :
Provider Business Practice Location Address
First Line : 232 N LAKE AVE STE 212
Second Line :
City : PASADENA
State : CA
Zip : 91101-4152
Country : US
Telephone Number : 626-495-0005
Fax Number :
Authorized Official
Title or Position : CEO
Name : NUNE AVAGYAN
Credential :
Telephone Number : 626-495-0005
Provider Enumeration Date : 04/02/2019
Last Update Date : 04/02/2019

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Directions to “DIRECT CARE HOME HEALTH, INC. ” Practice Location

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