Provider Demographics
NPI:1215656665
Name:INTRICATE HEALTHCARE SERVICES
Entity type:Organization
Organization Name:INTRICATE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANAHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVANISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-353-8790
Mailing Address - Street 1:8932 RESEDA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-6509
Mailing Address - Country:US
Mailing Address - Phone:800-353-8790
Mailing Address - Fax:800-353-8790
Practice Address - Street 1:8932 RESEDA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-6509
Practice Address - Country:US
Practice Address - Phone:800-353-8790
Practice Address - Fax:800-353-8790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEN AVE INVESTMENTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health