Provider Demographics
NPI:1306319785
Name:NORRIS HOME HEALTH, INC.
Entity type:Organization
Organization Name:NORRIS HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-222-6189
Mailing Address - Street 1:10319 NORRIS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-2220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10319 NORRIS AVE STE B
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-2220
Practice Address - Country:US
Practice Address - Phone:747-222-6189
Practice Address - Fax:818-484-2360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health