Provider Demographics
NPI:1316687478
Name:NESSA HOME HEALTH CARE INC
Entity type:Organization
Organization Name:NESSA HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOOSHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-514-6211
Mailing Address - Street 1:18345 VENTURA BLVD STE 515
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4245
Mailing Address - Country:US
Mailing Address - Phone:818-514-6211
Mailing Address - Fax:818-514-6246
Practice Address - Street 1:18345 VENTURA BLVD STE 515
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4245
Practice Address - Country:US
Practice Address - Phone:818-514-6211
Practice Address - Fax:818-514-6246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health