Phantom Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHANTOM HOME HEALTH INC.

Practice address

3531 N Verdugo Rd
Glendale, CA 91208-1240

Phone

(818) 330-9201

Fax

(818) 330-9221

NPI assigned

Jan 25, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alisa Nazaryan

Title

Ceo

Phone

(818) 330-9201

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1134835002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 N VERDUGO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081240",
            "telephone_number": "818-330-9201",
            "fax_number": "818-330-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 N VERDUGO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081240",
            "telephone_number": "818-330-9201",
            "fax_number": "818-330-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHANTOM HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "NAZARYAN",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-330-9201"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.