Healthcare Provider Details

I. General information

NPI: 1316517212
Provider Name (Legal Business Name): SINCERE HEARTS HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8323 BALBOA BLVD
NORTHRIDGE CA
91325-4008
US

IV. Provider business mailing address

8323 BALBOA BLVD
NORTHRIDGE CA
91325-4008
US

V. Phone/Fax

Practice location:
  • Phone: 747-236-6566
  • Fax: 747-236-6025
Mailing address:
  • Phone: 747-236-6566
  • Fax: 747-236-6025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HAGOP TERVARTANYAN
Title or Position: CEO
Credential:
Phone: 747-236-6566