Provider Demographics
NPI:1780330589
Name:LC HOME HEALTH, INC.
Entity type:Organization
Organization Name:LC HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEVON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERKEZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-640-0525
Mailing Address - Street 1:18039 CRENSHAW BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-5136
Mailing Address - Country:US
Mailing Address - Phone:818-640-0525
Mailing Address - Fax:818-745-5239
Practice Address - Street 1:18039 CRENSHAW BLVD STE 305
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-5136
Practice Address - Country:US
Practice Address - Phone:818-640-0525
Practice Address - Fax:818-745-5239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health