Provider Demographics
NPI:1174321475
Name:365 HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:365 HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARUT
Authorized Official - Middle Name:
Authorized Official - Last Name:GENJOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-292-5050
Mailing Address - Street 1:432 W BROADWAY # A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1209
Mailing Address - Country:US
Mailing Address - Phone:747-292-5050
Mailing Address - Fax:747-292-5051
Practice Address - Street 1:432 W BROADWAY # A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1209
Practice Address - Country:US
Practice Address - Phone:747-292-5050
Practice Address - Fax:747-292-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health