Provider Demographics
NPI:1902579402
Name:FAST RESPONSE HOME HEALTH INC
Entity type:Organization
Organization Name:FAST RESPONSE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRIGORI
Authorized Official - Middle Name:EDUARDI
Authorized Official - Last Name:MUSHEGHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-226-2248
Mailing Address - Street 1:6410 VAN NUYS BLVD
Mailing Address - Street 2:UNIT E101
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1449
Mailing Address - Country:US
Mailing Address - Phone:747-226-2248
Mailing Address - Fax:951-242-9406
Practice Address - Street 1:6410 VAN NUYS BLVD
Practice Address - Street 2:UNIT E101
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1449
Practice Address - Country:US
Practice Address - Phone:747-226-2248
Practice Address - Fax:951-242-9406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health