Healthcare Provider Details

I. General information

NPI: 1871238121
Provider Name (Legal Business Name): PLANET OF PARADISE HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10881 LA TUNA CANYON RD
SUN VALLEY CA
91352-2010
US

IV. Provider business mailing address

10881 LA TUNA CANYON RD
SUN VALLEY CA
91352-2010
US

V. Phone/Fax

Practice location:
  • Phone: 818-946-9742
  • Fax: 818-475-0800
Mailing address:
  • Phone: 818-946-9742
  • Fax: 818-475-0800

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: ARIS FRANKLYAN
Title or Position: CEO
Credential:
Phone: 818-946-9742