Healthcare Provider Details

I. General information

NPI: 1245194182
Provider Name (Legal Business Name): GENTLE JOURNEY HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8619 RESEDA BLVD STE 207
NORTHRIDGE CA
91324-4044
US

IV. Provider business mailing address

8619 RESEDA BLVD STE 207
NORTHRIDGE CA
91324-4044
US

V. Phone/Fax

Practice location:
  • Phone: 818-474-7471
  • Fax: 818-474-7473
Mailing address:
  • Phone: 818-474-7471
  • Fax: 818-474-7473

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: EDGAR MARUTYAN
Title or Position: CEO
Credential:
Phone: 818-474-7471