Provider Demographics
NPI:1174335210
Name:HIGHERVISION SH, INC.
Entity type:Organization
Organization Name:HIGHERVISION SH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYRAPETIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-612-3256
Mailing Address - Street 1:722 W WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2409
Mailing Address - Country:US
Mailing Address - Phone:818-612-3256
Mailing Address - Fax:818-337-2017
Practice Address - Street 1:12623 JOLETTE AVE
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-1426
Practice Address - Country:US
Practice Address - Phone:818-612-3256
Practice Address - Fax:818-337-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty