Provider Demographics
NPI:1306097142
Name:CALICARE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:CALICARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AKOP
Authorized Official - Middle Name:
Authorized Official - Last Name:KNADZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-310-7777
Mailing Address - Street 1:457 W COLORADO ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1576
Mailing Address - Country:US
Mailing Address - Phone:818-310-7777
Mailing Address - Fax:818-824-0000
Practice Address - Street 1:457 W COLORADO ST
Practice Address - Street 2:SUITE 203
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1576
Practice Address - Country:US
Practice Address - Phone:818-310-7777
Practice Address - Fax:818-824-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000985251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health