Provider Demographics
NPI:1962920736
Name:UNIQUE CARE HOME HEALTH
Entity type:Organization
Organization Name:UNIQUE CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMENUHI
Authorized Official - Middle Name:
Authorized Official - Last Name:YEGINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-741-2922
Mailing Address - Street 1:11755 VICTORY BLVD STE 285
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3423
Mailing Address - Country:US
Mailing Address - Phone:818-741-2922
Mailing Address - Fax:818-741-3341
Practice Address - Street 1:11755 VICTORY BLVD STE 285
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3423
Practice Address - Country:US
Practice Address - Phone:818-741-2922
Practice Address - Fax:818-741-3341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA111530Medicaid