Provider Demographics
NPI:1083062590
Name:MEDCO HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:MEDCO HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VACHE
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-529-4301
Mailing Address - Street 1:3200 WILSHIRE BLVD STE 1505
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-1318
Mailing Address - Country:US
Mailing Address - Phone:213-529-4301
Mailing Address - Fax:213-529-4302
Practice Address - Street 1:3200 WILSHIRE BLVD STE 1505
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1318
Practice Address - Country:US
Practice Address - Phone:213-529-4301
Practice Address - Fax:213-529-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health