Healthcare Provider Details

I. General information

NPI: 1396404208
Provider Name (Legal Business Name): HARMONICA HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 COLORADO BLVD STE 240
LOS ANGELES CA
90041-2382
US

IV. Provider business mailing address

1480 COLORADO BLVD STE 240
LOS ANGELES CA
90041-2382
US

V. Phone/Fax

Practice location:
  • Phone: 747-300-0801
  • Fax: 747-300-0802
Mailing address:
  • Phone: 747-300-0801
  • Fax: 747-300-0802

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: TETYANA USTYNOVA
Title or Position: CEO
Credential:
Phone: 661-269-2279