Look up the most recent NPI and PECOS records

Shore Line Home Health, Inc.

Home Health

Agencies

6740 Kester Ave Ste 204d, Van Nuys, CA 91405-4564

PECOS Enrollment

Based on the most recent information from CMS, provider Shore Line Home Health, Inc. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:30 AM.

Profile Details

Provider ID
1124626569
Provider Type
Organization
Full Name
Shore Line Home Health, Inc.

Subpart
Yes
Enumeration Date
10/16/2020
Last Updated
10/16/2020

Contact Information

Practice Location

6740 Kester Ave Ste 204d, Van Nuys, CA 91405-4564

(747) 217-1839

Unlisted Fax

Mailing Location

6740 Kester Ave Ste 204d, Van Nuys, CA 91405-4564

(747) 217-1839

Unlisted Fax

Authorized Official

Hovsepyan, Gurgen (Ceo)

(747) 217-1839

Provider Taxonomies

Code	Description	License
Code 251E00000X Primary	Description Home Health Agencies	License Unlisted Issuer

Shore Line Home Health, Inc.

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Description

License

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Description

License

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