Provider Demographics
NPI:1730762337
Name:CA CHOICE HOME HEALTH CARE
Entity type:Organization
Organization Name:CA CHOICE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAKOB
Authorized Official - Middle Name:G
Authorized Official - Last Name:SHIRAKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-302-2001
Mailing Address - Street 1:19737 VENTURA BLVD STE 300A
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2605
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19737 VENTURA BLVD STE 300A
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2605
Practice Address - Country:US
Practice Address - Phone:747-302-2001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health