Provider Demographics
NPI:1104401926
Name:IMPETUS HOME HEALTH CARE
Entity type:Organization
Organization Name:IMPETUS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGAPETIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-314-3699
Mailing Address - Street 1:133 N ALTADENA DR STE 309
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-7341
Mailing Address - Country:US
Mailing Address - Phone:626-399-5716
Mailing Address - Fax:
Practice Address - Street 1:133 N ALTADENA DR STE 309
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-7341
Practice Address - Country:US
Practice Address - Phone:626-399-5716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health