Healthcare Provider Details

I. General information

NPI: 1891444840
Provider Name (Legal Business Name): HA HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2022
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8905 GLENOAKS BLVD STE M
SUN VALLEY CA
91352-2086
US

IV. Provider business mailing address

8905 GLENOAKS BLVD STE M
SUN VALLEY CA
91352-2086
US

V. Phone/Fax

Practice location:
  • Phone: 818-745-1157
  • Fax:
Mailing address:
  • Phone: 818-745-1157
  • Fax:

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: SATINE HAKOBYAN
Title or Position: CEO
Credential:
Phone: 818-745-1157