MEDICARE: SUNLIGHT HOMECARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1366016339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNLIGHT HOMECARE INC

Provider Business Mailing Address
First Line	:	8522 FOOTHILL BLVD STE 205
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-1915
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8522 FOOTHILL BLVD STE 205
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-1915
Country	:	US
Telephone Number	:	818-474-4403
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANTRANEK VARTOOUMIAN KHOYGAN
Credential	:
Telephone Number	:	818-474-4403

Provider Enumeration Date	:	05/14/2021
Last Update Date	:	05/25/2026

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