Healthcare Provider Details

I. General information

NPI: 1407461494
Provider Name (Legal Business Name): ASCENTIA HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2020
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N GLENOAKS BLVD STE 243
BURBANK CA
91502-1116
US

IV. Provider business mailing address

303 N GLENOAKS BLVD STE 243
BURBANK CA
91502-1116
US

V. Phone/Fax

Practice location:
  • Phone: 747-329-6359
  • Fax: 747-588-4029
Mailing address:
  • Phone: 747-329-6359
  • Fax: 747-588-4029

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: MARI JACKELINE KUZUKYAN
Title or Position: CEO
Credential:
Phone: 747-329-6359