Healthcare Provider Details

I. General information

NPI: 1437774619
Provider Name (Legal Business Name): LIFE START HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 VAN NUYS BLVD STE 203
SHERMAN OAKS CA
91403-6122
US

IV. Provider business mailing address

5121 VAN NUYS BLVD STE 203
SHERMAN OAKS CA
91403-6122
US

V. Phone/Fax

Practice location:
  • Phone: 747-247-1242
  • Fax: 747-247-1243
Mailing address:
  • Phone: 747-247-1242
  • Fax: 747-247-1243

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: NARINE CHIBUKHCHYAN
Title or Position: CEO
Credential:
Phone: 747-247-1242