Fourth Doc Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FOURTH DOC HOME HEALTH CARE

Practice address

1314 W Glenoaks Blvd Ste 101C
Glendale, CA 91201-1978

Phone

(205) 282-9136

Fax

(205) 974-3248

NPI assigned

Oct 16, 2023

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

(205) 282-9136

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1780466607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 W GLENOAKS BLVD STE 101C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011978",
            "telephone_number": "205-282-9136",
            "fax_number": "205-974-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 W GLENOAKS BLVD STE 101C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011978",
            "telephone_number": "205-282-9136",
            "fax_number": "205-974-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURTH DOC HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "NERSISYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-282-9136"
    },
    "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 Oct 16, 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.