Provider Demographics
NPI:1538818455
Name:ILLON HOME HEALTH INC
Entity type:Organization
Organization Name:ILLON HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARSHAK
Authorized Official - Middle Name:
Authorized Official - Last Name:DALLAKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-485-4477
Mailing Address - Street 1:18401 BURBANK BLVD STE 123A
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2822
Mailing Address - Country:US
Mailing Address - Phone:818-485-4477
Mailing Address - Fax:818-485-4477
Practice Address - Street 1:18401 BURBANK BLVD STE 123A
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2822
Practice Address - Country:US
Practice Address - Phone:818-485-4477
Practice Address - Fax:818-485-4477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health