Healthcare Provider Details

I. General information

NPI: 1700538915
Provider Name (Legal Business Name): FELICITY COMPANION HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15928 VENTURA BLVD STE 227
ENCINO CA
91436-4409
US

IV. Provider business mailing address

15928 VENTURA BLVD STE 227
ENCINO CA
91436-4409
US

V. Phone/Fax

Practice location:
  • Phone: 818-970-8990
  • Fax: 747-264-0223
Mailing address:
  • Phone: 818-970-8990
  • Fax: 747-264-0223

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: INGA AMIRIAN
Title or Position: CEO
Credential:
Phone: 818-970-8990