Healthcare Provider Details

I. General information

NPI: 1881348720
Provider Name (Legal Business Name): ACTIVE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16921 PARTHENIA ST STE 201B
NORTHRIDGE CA
91343-4500
US

IV. Provider business mailing address

16921 PARTHENIA ST STE 201B
NORTHRIDGE CA
91343-4500
US

V. Phone/Fax

Practice location:
  • Phone: 818-387-6048
  • Fax: 818-387-6237
Mailing address:
  • Phone: 818-387-6048
  • Fax: 818-387-6237

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: KAREN GAREN DADYAN
Title or Position: OWNER
Credential:
Phone: 818-387-6048