Provider Demographics
NPI:1306337993
Name:VIBRANT HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:VIBRANT HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-935-5409
Mailing Address - Street 1:14545 FRIAR ST STE 210
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2399
Mailing Address - Country:US
Mailing Address - Phone:818-935-5409
Mailing Address - Fax:818-405-0695
Practice Address - Street 1:14545 FRIAR ST STE 210
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2399
Practice Address - Country:US
Practice Address - Phone:818-935-5409
Practice Address - Fax:818-405-0695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-20
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health