Organization
A HOMECARE DEVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHOUSHAN GUKASYAN (CEO)
(800) 757-9797
Entity
Organization
Contact information
Practice address
5739 YORK BLVD, LOS ANGELES, CA 90042-2643
(800) 757-9797
(323) 693-1878
Mailing address
PO BOX 21071, GLENDALE, CA 91221-5171
(800) 757-9797
(818) 767-1781
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
59017
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HMDR48741
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
HMDR48741
CA
335E00000X
Prosthetic/Orthotic Supplier
59017
CA
335E00000X
Prosthetic/Orthotic Supplier
HMDR48741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03085F
—
CA
Enumeration date
01/10/2008
Last updated
04/10/2024
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