Provider Demographics
NPI:1316434483
Name:EXCLUSIVE HOME HEALTH CARE PLLC
Entity type:Organization
Organization Name:EXCLUSIVE HOME HEALTH CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARUTYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:NENEDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-262-2309
Mailing Address - Street 1:13152 N 82ND LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4972
Mailing Address - Country:US
Mailing Address - Phone:818-428-7733
Mailing Address - Fax:
Practice Address - Street 1:9440 W PEORIA AVE UNIT B
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6316
Practice Address - Country:US
Practice Address - Phone:818-428-7733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-15
Last Update Date:2018-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health