Healthcare Provider Details

I. General information

NPI: 1518541333
Provider Name (Legal Business Name): BELOVED CARE HEALTH SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W LEXINGTON DR STE 309C
GLENDALE CA
91203-2230
US

IV. Provider business mailing address

121 W LEXINGTON DR STE 309C
GLENDALE CA
91203-2230
US

V. Phone/Fax

Practice location:
  • Phone: 818-578-8854
  • Fax: 818-578-8728
Mailing address:
  • Phone: 818-578-8854
  • Fax: 818-578-8728

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: MS. ANAIT ASATRYAN
Title or Position: CEO
Credential:
Phone: 818-578-8854