Healthcare Provider Details

I. General information

NPI: 1578224077
Provider Name (Legal Business Name): USSMART HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2022
Last Update Date: 01/06/2022
Certification Date: 01/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W LEXINGTON DR STE 418
GLENDALE CA
91203-2203
US

IV. Provider business mailing address

121 W LEXINGTON DR STE 418
GLENDALE CA
91203-2203
US

V. Phone/Fax

Practice location:
  • Phone: 747-977-5956
  • Fax: 747-977-5958
Mailing address:
  • Phone: 747-977-5956
  • Fax: 747-977-5958

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: ILONA HARUTYUNOVA
Title or Position: CEO
Credential:
Phone: 747-977-5956