Provider Demographics
NPI:1487144820
Name:BELANI HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:BELANI HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:YAZICHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-835-7986
Mailing Address - Street 1:10137 RIVERSIDE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2509
Mailing Address - Country:US
Mailing Address - Phone:818-835-7986
Mailing Address - Fax:
Practice Address - Street 1:2609 W WYOMING AVE STE B
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-1950
Practice Address - Country:US
Practice Address - Phone:818-835-7986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1Medicaid