Healthcare Provider Details

I. General information

NPI: 1538826565
Provider Name (Legal Business Name): LEA HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2021
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W LEXINGTON DR STE 616A
GLENDALE CA
91203-3667
US

IV. Provider business mailing address

121 W LEXINGTON DR STE 616A
GLENDALE CA
91203-3667
US

V. Phone/Fax

Practice location:
  • Phone: 818-483-6400
  • Fax: 818-483-6400
Mailing address:
  • Phone: 818-483-6400
  • Fax: 818-483-6400

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: ARA MATINYAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 424-278-8751