Provider Demographics
NPI:1063912020
Name:HOLISTIC HOME HEALTH, INC.
Entity type:Organization
Organization Name:HOLISTIC HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:DERMENDJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-364-2356
Mailing Address - Street 1:3306 GLENDALE BLVD STE 7
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1838
Mailing Address - Country:US
Mailing Address - Phone:323-364-2356
Mailing Address - Fax:323-364-6304
Practice Address - Street 1:3306 GLENDALE BLVD STE 7
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1838
Practice Address - Country:US
Practice Address - Phone:323-364-2356
Practice Address - Fax:323-364-6304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health