Healthcare Provider Details

I. General information

NPI: 1780154559
Provider Name (Legal Business Name): ANGELES HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2018
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4119 W BURBANK BLVD # 176
BURBANK CA
91505-2122
US

IV. Provider business mailing address

4119 W BURBANK BLVD STE 176
BURBANK CA
91505-2122
US

V. Phone/Fax

Practice location:
  • Phone: 747-241-8939
  • Fax: 747-241-8906
Mailing address:
  • Phone: 747-241-8939
  • Fax:

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: ARTHUR SARUKIAN
Title or Position: CEO
Credential:
Phone: 747-241-8939