MEDICARE: BELLAMY HOME HEALTH, 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	:	1538735261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLAMY HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	11336 CAMARILLO ST STE 302
Second Line	:
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91602-3501
Country	:	US
Telephone Number	:	747-277-4747
Fax Number	:	747-277-4745

Provider Business Practice Location Address
First Line	:	11336 CAMARILLO ST STE 302
Second Line	:
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91602-3501
Country	:	US
Telephone Number	:	747-277-4747
Fax Number	:	747-277-4745

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. AMY A SADIKIAN
Credential	:	RN
Telephone Number	:	747-277-4747

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	08/22/2024

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