MEDICARE: HEALTHRIDGE HOME HEALTH CARE, 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	:	1477486983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHRIDGE HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	301 GEORGIA ST STE 321
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94590-5945
Country	:	US
Telephone Number	:	323-217-4398
Fax Number	:	323-217-4398

Provider Business Practice Location Address
First Line	:	301 GEORGIA ST STE 321
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94590-5945
Country	:	US
Telephone Number	:	323-217-4398
Fax Number	:	323-217-4398

Authorized Official
Title or Position	:	CEO
Name	:	ARTUR JULHAKYAN
Credential	:
Telephone Number	:	323-217-4398

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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