Provider Demographics
NPI:1699449793
Name:EXCLUSIVE CHOICE HOME HEALTHCARE INC.
Entity type:Organization
Organization Name:EXCLUSIVE CHOICE HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-240-6905
Mailing Address - Street 1:1228 W GLENOAKS BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-2239
Mailing Address - Country:US
Mailing Address - Phone:747-240-6905
Mailing Address - Fax:747-240-6164
Practice Address - Street 1:1228 W GLENOAKS BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-2239
Practice Address - Country:US
Practice Address - Phone:747-240-6905
Practice Address - Fax:747-240-6164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health