Healthcare Provider Details

I. General information

NPI: 1609700046
Provider Name (Legal Business Name): ALFA SERVICE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 ARDEN AVE STE 106A
GLENDALE CA
91203-4045
US

IV. Provider business mailing address

417 ARDEN AVE STE 106A
GLENDALE CA
91203-4045
US

V. Phone/Fax

Practice location:
  • Phone: 747-342-7285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: ARTEM VARDANIAN
Title or Position: CEO
Credential:
Phone: 747-342-7285