Healthcare Provider Details

I. General information

NPI: 1699421677
Provider Name (Legal Business Name): GREENWAY HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13317 VENTURA BLVD. SUITE H2
SHERMAN OAKS CA
91423-6271
US

IV. Provider business mailing address

13317 VENTURA BLVD. SUITE H2
SHERMAN OAKS CA
91423-6271
US

V. Phone/Fax

Practice location:
  • Phone: 818-812-6444
  • Fax: 818-812-6424
Mailing address:
  • Phone: 818-812-6444
  • Fax: 818-812-6424

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: MS. MARINE ABELYAN
Title or Position: CEO
Credential:
Phone: 818-812-6444