Provider Demographics
NPI:1528630522
Name:L.A.M. HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:L.A.M. HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AVETIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VARDANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-288-5666
Mailing Address - Street 1:1041 RUBERTA AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-2104
Mailing Address - Country:US
Mailing Address - Phone:818-288-5666
Mailing Address - Fax:
Practice Address - Street 1:1200 E ROUTE 66 STE 210
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-6360
Practice Address - Country:US
Practice Address - Phone:818-288-5666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-11
Last Update Date:2021-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health