Healthcare Provider Details

I. General information

NPI: 1558211839
Provider Name (Legal Business Name): 515 HOME HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16700 SCHOENBORN ST
NORTH HILLS CA
91343-6122
US

IV. Provider business mailing address

3213 ELVIDO DR
LOS ANGELES CA
90049-1111
US

V. Phone/Fax

Practice location:
  • Phone: 818-920-9393
  • Fax: 818-920-9393
Mailing address:
  • Phone: 310-901-9536
  • 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: ALITA EGHBALI
Title or Position: OWNER
Credential:
Phone: 310-901-9536