Healthcare Provider Details

I. General information

NPI: 1265071393
Provider Name (Legal Business Name): HEPIUS HOME HEALTH CARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2020
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N MACLAY AVE STE G
SAN FERNANDO CA
91340-2941
US

IV. Provider business mailing address

120 N MACLAY AVE STE G
SAN FERNANDO CA
91340-2941
US

V. Phone/Fax

Practice location:
  • Phone: 747-500-7777
  • Fax:
Mailing address:
  • Phone:
  • 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: HAYK CHILINGARYAN
Title or Position: CEO
Credential:
Phone: 747-500-7777