Healthcare Provider Details

I. General information

NPI: 1245985746
Provider Name (Legal Business Name): 911 FRIENDLY HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2022
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 E OLIVE AVE STE D
BURBANK CA
91502-1250
US

IV. Provider business mailing address

348 E OLIVE AVE STE D
BURBANK CA
91502-1250
US

V. Phone/Fax

Practice location:
  • Phone: 747-281-2010
  • Fax: 747-281-2011
Mailing address:
  • Phone: 747-281-2010
  • Fax: 747-281-2011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ASTGIK AVETISYAN
Title or Position: CEO
Credential:
Phone: 747-281-2010