Healthcare Provider Details

I. General information

NPI: 1528615465
Provider Name (Legal Business Name): HEART OF HOPE HOME HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10999 RIVERSIDE DR STE 103
STUDIO CITY CA
91602-2239
US

IV. Provider business mailing address

10999 RIVERSIDE DR STE 103
STUDIO CITY CA
91602-2239
US

V. Phone/Fax

Practice location:
  • Phone: 818-650-0700
  • Fax: 818-650-0799
Mailing address:
  • Phone: 818-650-0700
  • Fax: 818-650-0799

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: MR. MIKE DANIYELYAN
Title or Position: PRESIDENT & CEO
Credential:
Phone: 818-650-0700