Healthcare Provider Details

I. General information

NPI: 1386485753
Provider Name (Legal Business Name): GENERATION HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2024
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18570 SHERMAN WAY STE B
RESEDA CA
91335-8631
US

IV. Provider business mailing address

18570 SHERMAN WAY STE B
RESEDA CA
91335-8631
US

V. Phone/Fax

Practice location:
  • Phone: 818-457-4322
  • Fax: 818-457-4321
Mailing address:
  • Phone: 818-457-4322
  • Fax: 818-457-4321

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: SUZANNA BOZUKYAN
Title or Position: CEO
Credential:
Phone: 818-457-4322