Provider Demographics
NPI:1316513013
Name:ANGEL CITY HOME HEALTH CARE
Entity type:Organization
Organization Name:ANGEL CITY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARSHAK
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-610-3462
Mailing Address - Street 1:3504 W MAGNOLIA BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2911
Mailing Address - Country:US
Mailing Address - Phone:323-610-3462
Mailing Address - Fax:818-301-2000
Practice Address - Street 1:3504 W MAGNOLIA BLVD STE 208
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2911
Practice Address - Country:US
Practice Address - Phone:323-610-3462
Practice Address - Fax:818-301-2000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health