Healthcare Provider Details

I. General information

NPI: 1568033298
Provider Name (Legal Business Name): MEDLITE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2021
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16933 PARTHENIA ST STE 208
NORTHRIDGE CA
91343-4588
US

IV. Provider business mailing address

16933 PARTHENIA ST STE 208
NORTHRIDGE CA
91343-4588
US

V. Phone/Fax

Practice location:
  • Phone: 747-247-0406
  • Fax: 747-247-0416
Mailing address:
  • Phone: 747-247-0406
  • Fax: 747-247-0416

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: ARPINE ASTVATSATRYAN
Title or Position: CEO
Credential:
Phone: 747-247-0406