Provider Demographics
NPI:1548554959
Name:INFUSION CONNECTIONS HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:INFUSION CONNECTIONS HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AKOP
Authorized Official - Middle Name:JAKE
Authorized Official - Last Name:KESHISHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-828-3690
Mailing Address - Street 1:3216 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2606
Mailing Address - Country:US
Mailing Address - Phone:310-828-3690
Mailing Address - Fax:310-828-3697
Practice Address - Street 1:3216 SANTA MONICA BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2606
Practice Address - Country:US
Practice Address - Phone:310-828-3690
Practice Address - Fax:310-828-3697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health