Provider Demographics
NPI:1194321349
Name:SH HOME HEALTH INC
Entity type:Organization
Organization Name:SH HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:HAYK
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMURJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-600-8009
Mailing Address - Street 1:45 W EASY ST STE 29
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1610
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45 W EASY ST STE 29
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1610
Practice Address - Country:US
Practice Address - Phone:805-600-8009
Practice Address - Fax:805-600-0049
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SH MED SOLUTION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health