Provider Demographics
NPI:1528679222
Name:SAINT LAZARUS HOME HEALTH INC.
Entity type:Organization
Organization Name:SAINT LAZARUS HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAZMIK
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BARSEGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-523-7115
Mailing Address - Street 1:17722 SIERRA HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91351
Mailing Address - Country:US
Mailing Address - Phone:661-523-7115
Mailing Address - Fax:661-523-7126
Practice Address - Street 1:17722 SIERRA HIGHWAY
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91351
Practice Address - Country:US
Practice Address - Phone:661-523-7115
Practice Address - Fax:661-523-7126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health