Provider Demographics
NPI:1528447760
Name:VIA PLUS HOME HEALTH, INC.
Entity type:Organization
Organization Name:VIA PLUS HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VENERA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSTANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-644-9030
Mailing Address - Street 1:6850 VAN NUYS BLVD
Mailing Address - Street 2:STE 309
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4640
Mailing Address - Country:US
Mailing Address - Phone:818-644-9030
Mailing Address - Fax:
Practice Address - Street 1:6850 VAN NUYS BLVD
Practice Address - Street 2:STE 309
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4640
Practice Address - Country:US
Practice Address - Phone:818-644-9030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health