Provider Demographics
NPI:1144468992
Name:MILLENNIUM HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:MILLENNIUM HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANAIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-317-1313
Mailing Address - Street 1:13758 VICTORY BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2319
Mailing Address - Country:US
Mailing Address - Phone:818-317-1313
Mailing Address - Fax:
Practice Address - Street 1:13758 VICTORY BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2319
Practice Address - Country:US
Practice Address - Phone:818-317-1313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health