Provider Demographics
NPI:1285310565
Name:ANTHEM HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:ANTHEM HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOROUZI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-934-9040
Mailing Address - Street 1:16200 VENTURA BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4667
Mailing Address - Country:US
Mailing Address - Phone:818-934-9040
Mailing Address - Fax:818-934-9015
Practice Address - Street 1:16200 VENTURA BLVD STE 305
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4667
Practice Address - Country:US
Practice Address - Phone:818-934-9040
Practice Address - Fax:818-934-9015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health