Look up the most recent NPI and PECOS records

Swan Home Health Care, Inc.

Home Health

Agencies

3808 W Riverside Dr Ste 202, Burbank, CA 91505-4339

PECOS Enrollment

Based on the most recent information from CMS, provider Swan Home Health Care, 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 2 days ago.

Profile Details

Provider ID
1578047817
Provider Type
Organization
Full Name
Swan Home Health Care, Inc.

Subpart
No
Enumeration Date
9/22/2018
Last Updated
9/22/2018

Contact Information

Practice Location

3808 W Riverside Dr Ste 202, Burbank, CA 91505-4339

(818) 406-5006

Unlisted Fax

Mailing Location

3808 W Riverside Dr Ste 202, Burbank, CA 91505-4339

(818) 406-5006

Unlisted Fax

Authorized Official

Hovhannisyan, Khachatur (Ceo)

(818) 406-5006

Provider Taxonomies

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

Provider Identifiers

ID	Description	Issuer
ID 1	Description Medicaid	Issuer Unlisted California

Swan Home Health Care, Inc.

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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ID

Description

Issuer

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