Provider Demographics
NPI:1144964065
Name:IMPRESSION HOME HEALTH
Entity type:Organization
Organization Name:IMPRESSION HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAROUT HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAPETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-826-2446
Mailing Address - Street 1:14414 HAMLIN ST UNIT 216
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1409
Mailing Address - Country:US
Mailing Address - Phone:818-826-2446
Mailing Address - Fax:818-303-3029
Practice Address - Street 1:14414 HAMLIN ST UNIT 216
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1409
Practice Address - Country:US
Practice Address - Phone:818-826-2446
Practice Address - Fax:818-303-3029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health