Provider Demographics
NPI:1437913134
Name:EAST COAST VALLEY HOME HEALTH INC
Entity type:Organization
Organization Name:EAST COAST VALLEY HOME HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOVSISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-977-9007
Mailing Address - Street 1:3575 CAHUENGA BLVD W STE 670
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1366
Mailing Address - Country:US
Mailing Address - Phone:703-977-9007
Mailing Address - Fax:703-977-9006
Practice Address - Street 1:11350 RANDOM HILLS RD STE 827
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6044
Practice Address - Country:US
Practice Address - Phone:703-977-9007
Practice Address - Fax:703-977-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health