Provider Demographics
NPI:1528440799
Name:AVG HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:AVG HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTYOM
Authorized Official - Middle Name:
Authorized Official - Last Name:VOSKERCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-602-0222
Mailing Address - Street 1:725 S GLENDALE AVE
Mailing Address - Street 2:UNIT E
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-2395
Mailing Address - Country:US
Mailing Address - Phone:818-602-0222
Mailing Address - Fax:
Practice Address - Street 1:725 S GLENDALE AVE
Practice Address - Street 2:UNIT E
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-2395
Practice Address - Country:US
Practice Address - Phone:818-602-0222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health