Healthcare Provider Details

I. General information

NPI: 1366194557
Provider Name (Legal Business Name): LIGHT HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

644 W BROADWAY STE 108
GLENDALE CA
91204-1026
US

IV. Provider business mailing address

644 W BROADWAY STE 108
GLENDALE CA
91204-1026
US

V. Phone/Fax

Practice location:
  • Phone: 818-946-9774
  • Fax: 818-337-2257
Mailing address:
  • Phone: 818-946-9774
  • Fax: 818-337-2257

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: KAREN ADAMYAN
Title or Position: CEO
Credential:
Phone: 323-744-4447