Provider Demographics
NPI:1194119495
Name:ASCLEPIUS HOME HEALTHCARE INC
Entity type:Organization
Organization Name:ASCLEPIUS HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-558-4070
Mailing Address - Street 1:356 E OLIVE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1222
Mailing Address - Country:US
Mailing Address - Phone:818-558-4070
Mailing Address - Fax:818-558-4071
Practice Address - Street 1:356 E OLIVE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1222
Practice Address - Country:US
Practice Address - Phone:818-558-4070
Practice Address - Fax:818-558-4071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health