MEDICARE: HEALTHY FAMILY 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	:	1982086310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY FAMILY HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	14532 FRIAR ST STE G
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2358
Country	:	US
Telephone Number	:	818-903-0137
Fax Number	:

Provider Business Practice Location Address
First Line	:	14532 FRIAR ST STE G
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2358
Country	:	US
Telephone Number	:	818-903-0137
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VAHAN VICTOR MARUKYAN
Credential	:
Telephone Number	:	818-903-0137

Provider Enumeration Date	:	06/22/2015
Last Update Date	:	06/22/2015

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