Healthcare Provider Details

I. General information

NPI: 1952060337
Provider Name (Legal Business Name): HOLLYCARE HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2021
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 VALLEY BLVD STE 107
EL MONTE CA
91731-2533
US

IV. Provider business mailing address

11100 VALLEY BLVD STE 107
EL MONTE CA
91731-2533
US

V. Phone/Fax

Practice location:
  • Phone: 818-928-2255
  • Fax: 818-666-0078
Mailing address:
  • Phone: 818-928-2255
  • Fax: 818-666-0078

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: ALEK TOROSYAN
Title or Position: OWNER
Credential:
Phone: 818-928-2255