Healthcare Provider Details

I. General information

NPI: 1285579862
Provider Name (Legal Business Name): CALIFORNIA HOMECARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19222 KITTRIDGE ST
RESEDA CA
91335-5047
US

IV. Provider business mailing address

19222 KITTRIDGE ST
RESEDA CA
91335-5047
US

V. Phone/Fax

Practice location:
  • Phone: 818-424-0313
  • Fax:
Mailing address:
  • Phone: 818-424-0313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: LEGHAEIEH IGHANI
Title or Position: CEO
Credential:
Phone: 818-424-0313