Provider Demographics
NPI:1447926548
Name:KINGS HOME HEALTH, INC.
Entity type:Organization
Organization Name:KINGS HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARATSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-969-0506
Mailing Address - Street 1:15600 DEVONSHIRE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-7242
Mailing Address - Country:US
Mailing Address - Phone:800-969-0506
Mailing Address - Fax:
Practice Address - Street 1:15600 DEVONSHIRE ST STE 203
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7242
Practice Address - Country:US
Practice Address - Phone:800-969-0506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LZ HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-18
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health