Provider Demographics
NPI:1316619950
Name:VIRGO HOME HEALTH INC.
Entity type:Organization
Organization Name:VIRGO HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARI
Authorized Official - Middle Name:
Authorized Official - Last Name:POGOSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-603-1105
Mailing Address - Street 1:1619 W GARVEY AVE N STE 104
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-2146
Mailing Address - Country:US
Mailing Address - Phone:626-603-1105
Mailing Address - Fax:626-603-1106
Practice Address - Street 1:1619 W GARVEY AVE N STE 104
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2146
Practice Address - Country:US
Practice Address - Phone:626-603-1105
Practice Address - Fax:626-603-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health