Provider Demographics
NPI:1992453062
Name:PRAZYAN HOME HEALTH
Entity type:Organization
Organization Name:PRAZYAN HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO,CFO,SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-264-9807
Mailing Address - Street 1:5605 WOODMAN AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-9100
Mailing Address - Country:US
Mailing Address - Phone:747-264-9807
Mailing Address - Fax:747-877-2175
Practice Address - Street 1:5605 WOODMAN AVE STE 210
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-9100
Practice Address - Country:US
Practice Address - Phone:747-264-9807
Practice Address - Fax:747-877-2175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health