Provider Demographics
NPI:1457920316
Name:A & G HOME HEALTH, INC.
Entity type:Organization
Organization Name:A & G HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TER-GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-477-2149
Mailing Address - Street 1:11712 MOORPARK ST STE 110
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2155
Mailing Address - Country:US
Mailing Address - Phone:747-477-2149
Mailing Address - Fax:747-477-2391
Practice Address - Street 1:11712 MOORPARK ST STE 110
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2155
Practice Address - Country:US
Practice Address - Phone:747-477-2149
Practice Address - Fax:747-477-2391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health