Healthcare Provider Details

I. General information

NPI: 1194661249
Provider Name (Legal Business Name): BRIGHT PATH HOME HEALTH AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4368 WOODMAN AVE STE B
SHERMAN OAKS CA
91423-3031
US

IV. Provider business mailing address

4368 WOODMAN AVE STE B
SHERMAN OAKS CA
91423-3031
US

V. Phone/Fax

Practice location:
  • Phone: 818-285-8556
  • Fax: 818-450-0403
Mailing address:
  • Phone: 818-285-8556
  • Fax: 818-450-0403

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. PAYTSAR GUMRUYAN
Title or Position: CEO
Credential:
Phone: 818-285-8556