Healthcare Provider Details

I. General information

NPI: 1760429229
Provider Name (Legal Business Name): STARBRIGHT HOME HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 08/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 ERRINGER RD SUITE 201A
SIMI VALLEY CA
93065-3557
US

IV. Provider business mailing address

1633 ERRINGER RD SUITE 201A
SIMI VALLEY CA
93065-3557
US

V. Phone/Fax

Practice location:
  • Phone: 805-582-2272
  • Fax: 805-582-2372
Mailing address:
  • Phone: 805-582-2272
  • Fax: 805-582-2372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number550000502
License Number StateCA

VIII. Authorized Official

Name: MR. MIKAYEL MIKAYELYAN
Title or Position: PRESIDENT
Credential:
Phone: 805-582-2272