Third Doc Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THIRD DOC HOME HEALTH

Practice address

440 Western Ave Unit 105B
Glendale, CA 91201-2884

Phone

(626) 768-2361

Fax

(626) 768-1405

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Lusine Nersisyan

Title

Ceo

Phone

(626) 768-2361

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1740907963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WESTERN AVE UNIT 105B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012884",
            "telephone_number": "626-768-2361",
            "fax_number": "626-768-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WESTERN AVE UNIT 105B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012884",
            "telephone_number": "626-768-2361",
            "fax_number": "626-768-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD DOC HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "NERSISYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-768-2361"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.