Provider Demographics
NPI:1649924069
Name:CLIVE HOME HEALTH, INC.
Entity type:Organization
Organization Name:CLIVE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEROPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-474-3623
Mailing Address - Street 1:4524 BRAZIL ST STE B-1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1002
Mailing Address - Country:US
Mailing Address - Phone:818-474-3623
Mailing Address - Fax:818-301-4076
Practice Address - Street 1:4524 BRAZIL ST STE B-1
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1002
Practice Address - Country:US
Practice Address - Phone:818-474-3623
Practice Address - Fax:818-301-4076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health