Provider Demographics
NPI:1649862129
Name:AVRAMED HOMEHEALTH CARE, INC.
Entity type:Organization
Organization Name:AVRAMED HOMEHEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-205-1289
Mailing Address - Street 1:14429 VENTURA BLVD UNIT 101B
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2646
Mailing Address - Country:US
Mailing Address - Phone:747-205-1289
Mailing Address - Fax:747-285-2123
Practice Address - Street 1:14429 VENTURA BLVD UNIT 101B
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2646
Practice Address - Country:US
Practice Address - Phone:747-205-1289
Practice Address - Fax:747-285-2123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-06
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health