MEDICARE: EAGLE HOME HEALTH

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

Other Identifiers

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

General Provider Information

NPI Number	:	1992219463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAGLE HOME HEALTH

Provider Business Mailing Address
First Line	:	6005 VINELAND AVE STE 204
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4984
Country	:	US
Telephone Number	:	818-927-4039
Fax Number	:

Provider Business Practice Location Address
First Line	:	6005 VINELAND AVE STE 204
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4984
Country	:	US
Telephone Number	:	747-244-7340
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LIANA GRIGORYAN
Credential	:
Telephone Number	:	818-927-4039

Provider Enumeration Date	:	11/20/2017
Last Update Date	:	03/31/2021

Similar Medicare Providers

1568123909 — TRUEMED HOME HEALTH, INC.
Practice Location Address:

6005 VINELAND AVE STE 203
NORTH HOLLYWOOD, CA
91606-4984

Practice Phone: 818-485-2299
Practice Fax:

1861702326 — SAINT MANUEL HOSPICE, INC.
Practice Location Address:

6005 VINELAND AVE STE 202
N HOLLYWOOD, CA
91606-4984

Practice Phone: 818-484-6475
Practice Fax:

1457989709 — GENERAL CARE GROUP INC.
Practice Location Address:

6005 VINELAND AVE STE 202
NORTH HOLLYWOOD, CA
91606-4984

Practice Phone: 424-599-4094
Practice Fax: 424-599-4095

1033783022 — DEFINITE COMFORT CARE HOSPICE INC
Practice Location Address:

6005 VINELAND AVE STE 203
NORTH HOLLYWOOD, CA
91606-4984

Practice Phone: 818-485-2299
Practice Fax:

1841206547 — DR. ROBERT MARSHALL CHMIELESKI MD
Practice Location Address:

225 NORTH MAIN ST , SUITE 103
BRISTOL, CT
06010-4984

Practice Phone: 860-583-7741
Practice Fax: 860-585-5417

1639459167 — BECKY MARIE EDSON OTR
Practice Location Address:

4984 381ST LN
NORTH BRANCH, MN
55056-6075

Practice Phone: 651-237-0387
Practice Fax:

Directions to “EAGLE HOME HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.