Provider Demographics
NPI:1124772744
Name:CALIFORNIA CARE HOME HEALTH, INC.
Entity type:Organization
Organization Name:CALIFORNIA CARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUK
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-887-7075
Mailing Address - Street 1:16250 VENTURA BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2286
Mailing Address - Country:US
Mailing Address - Phone:800-887-7075
Mailing Address - Fax:800-887-7075
Practice Address - Street 1:16250 VENTURA BLVD STE 230
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2286
Practice Address - Country:US
Practice Address - Phone:800-887-7075
Practice Address - Fax:800-887-7075
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CA CARE INVESTMENTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health