Provider Demographics
NPI:1053020099
Name:PERSONALIZED HOME HEALTH CARE INC
Entity type:Organization
Organization Name:PERSONALIZED HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRANIK
Authorized Official - Middle Name:
Authorized Official - Last Name:AYKAZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-419-1196
Mailing Address - Street 1:28035 DOROTHY DR STE 200A
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2685
Mailing Address - Country:US
Mailing Address - Phone:818-492-7202
Mailing Address - Fax:818-492-7201
Practice Address - Street 1:28035 DOROTHY DR STE 200A
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2685
Practice Address - Country:US
Practice Address - Phone:818-492-7202
Practice Address - Fax:818-492-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health