Provider Demographics
NPI:1528639838
Name:HAVANA HOME HEALTH, INC
Entity type:Organization
Organization Name:HAVANA HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAHIT
Authorized Official - Middle Name:A
Authorized Official - Last Name:NARKIZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-452-3330
Mailing Address - Street 1:13711 VAN NUYS BLVD STE 3A
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-3603
Mailing Address - Country:US
Mailing Address - Phone:818-452-3330
Mailing Address - Fax:
Practice Address - Street 1:13711 VAN NUYS BLVD STE 3A
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-3603
Practice Address - Country:US
Practice Address - Phone:818-452-3330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health