Provider Demographics
NPI:1548990302
Name:LA MEMORIAL HOME HEALTH CARE
Entity type:Organization
Organization Name:LA MEMORIAL HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-551-9161
Mailing Address - Street 1:17620 SHERMAN WAY STE 105A
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3527
Mailing Address - Country:US
Mailing Address - Phone:800-551-9161
Mailing Address - Fax:800-551-9161
Practice Address - Street 1:17620 SHERMAN WAY STE 105A
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3527
Practice Address - Country:US
Practice Address - Phone:800-551-9161
Practice Address - Fax:800-551-9161
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LA MEMORIAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health