Healthcare Provider Details
I. General information
NPI: 1750968038
Provider Name (Legal Business Name): HOPE HAVEN HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2021
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 N 3RD ST STE 344
BURBANK CA
91502-1107
US
IV. Provider business mailing address
300 N 3RD ST STE 344
BURBANK CA
91502-1107
US
V. Phone/Fax
- Phone: 747-297-2696
- Fax: 747-297-2451
- Phone: 747-297-2696
- Fax: 747-297-2451
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RITA
KHECHUMYAN
Title or Position: OWNER, CEO, CFO, SECRETARY
Credential:
Phone: 747-297-2696