Deistic Home Health Care, Inc.
Organization Active NPI Home Health Agency · La Crescenta, CA
NPI 1952646952 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1952646952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- DEISTIC HOME HEALTH CARE, INC.
- Practice address
- 4250 Pennsylvania Ave.
Suite 101
La Crescenta, CA 91214-3369 - Phone
- (818) 649-1475
- Fax
- (818) 649-1476
- NPI assigned
- Dec 1, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Hermine Keshishyan
- Title
- Administrator
- Phone
- (818) 649-1475
Practitioners 1
-
Amanda Tredway Devera, M.S., CCC-SLP
National Provider Directory
Locations
4250 Pennsylvania Ave
Ste 101
La Crescenta, CA 91214
Phone (818) 649-1475
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
4250 Pennsylvania Ave.
Suite 101
La Crescenta, CA 91214-3369
Mailing address
4250 Pennsylvania Ave.
Suite 101
La Crescenta, CA 91214-3369
Phone (818) 649-1475
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All providers in La Crescenta, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.