# JADE HOME CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396314837
- **Authorized official:** MR. ASHOT PETROSYAN (CEO)
- **Authorized official phone:** (818) 839-1484

## Contact information

- **Practice address:** 401 N BRAND BLVD \# L101A, GLENDALE, CA 91203-4427
- **Practice address phone:** (818) 839-1484
- **Practice address fax:** (818) 536-6573
- **Mailing address:** 401 N BRAND BLVD \# L101A, GLENDALE, CA 91203-4427
- **Mailing address phone:** (818) 839-1484
- **Mailing address fax:** (818) 536-6573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2021
- **Last updated:** 06/19/2021