Provider Demographics
NPI:1316752785
Name:CITIZEN CARE HHA
Entity type:Organization
Organization Name:CITIZEN CARE HHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MKRTCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-234-4704
Mailing Address - Street 1:950 E PALMDALE BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4719
Mailing Address - Country:US
Mailing Address - Phone:661-234-4704
Mailing Address - Fax:747-238-7772
Practice Address - Street 1:950 E PALMDALE BLVD STE F
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4719
Practice Address - Country:US
Practice Address - Phone:661-234-4704
Practice Address - Fax:747-238-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health