Healthcare Provider Details

I. General information

NPI: 1912575812
Provider Name (Legal Business Name): AVIDA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S VICTORY BLVD STE 205
BURBANK CA
91502-3104
US

IV. Provider business mailing address

400 S VICTORY BLVD STE 205
BURBANK CA
91502-3104
US

V. Phone/Fax

Practice location:
  • Phone: 888-228-1528
  • Fax:
Mailing address:
  • Phone: 888-228-1528
  • 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: SONA MARTIROSIAN
Title or Position: CEO
Credential:
Phone: 888-228-1528