Healthcare Provider Details

I. General information

NPI: 1114681509
Provider Name (Legal Business Name): ONE STOP HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17619 CHATSWORTH ST UNIT A
GRANADA HILLS CA
91344-5602
US

IV. Provider business mailing address

17619 CHATSWORTH ST UNIT A
GRANADA HILLS CA
91344-5602
US

V. Phone/Fax

Practice location:
  • Phone: 818-363-3003
  • Fax: 818-363-3113
Mailing address:
  • Phone: 818-363-3003
  • Fax: 818-363-3113

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: GOHAR PAPAZIAN
Title or Position: CEO
Credential:
Phone: 818-363-3003