MEDICARE: HEALTHLINE HOME HEALTH AGENCY, 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	:	1487309894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHLINE HOME HEALTH AGENCY, INC.

Provider Business Mailing Address
First Line	:	127 S BRAND BLVD STE 302
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1388
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 S BRAND BLVD STE 302
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1388
Country	:	US
Telephone Number	:	818-305-5705
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GAYANE BEZHANYAN
Credential	:
Telephone Number	:	818-305-5705

Provider Enumeration Date	:	02/14/2022
Last Update Date	:	09/07/2023

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