Healthcare Provider Details

I. General information

NPI: 1326952920
Provider Name (Legal Business Name): HIHOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17337 SEPTO ST
NORTHRIDGE CA
91325-1529
US

IV. Provider business mailing address

17337 SEPTO ST
NORTHRIDGE CA
91325-1529
US

V. Phone/Fax

Practice location:
  • Phone: 818-456-9806
  • Fax:
Mailing address:
  • Phone: 818-456-9806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALEN KHACHIKYAN
Title or Position: LICENSEE
Credential:
Phone: 818-456-9806