Healthcare Provider Details

I. General information

NPI: 1043163991
Provider Name (Legal Business Name): AEVITA HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14547 TITUS ST STE 217
PANORAMA CITY CA
91402-4938
US

IV. Provider business mailing address

14547 TITUS ST STE 217
PANORAMA CITY CA
91402-4938
US

V. Phone/Fax

Practice location:
  • Phone: 747-285-8545
  • Fax:
Mailing address:
  • Phone: 747-285-8545
  • Fax:

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: AREVIK HAMBARYAN
Title or Position: CEO
Credential:
Phone: 747-285-8545