Healthcare Provider Details

I. General information

NPI: 1831865617
Provider Name (Legal Business Name): BLUE HORIZON HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2021
Last Update Date: 08/20/2021
Certification Date: 08/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7590 N GLENOAKS BLVD STE 8
BURBANK CA
91504-1003
US

IV. Provider business mailing address

7590 N GLENOAKS BLVD STE 8
BURBANK CA
91504-1003
US

V. Phone/Fax

Practice location:
  • Phone: 424-600-9929
  • Fax: 424-600-9959
Mailing address:
  • Phone: 424-600-9929
  • Fax: 424-600-9959

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: SUZANNE SARKISSIAN
Title or Position: CEO
Credential:
Phone: 424-600-9929