Healthcare Provider Details

I. General information

NPI: 1962284661
Provider Name (Legal Business Name): ENTRUSTED HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8705 SUNLAND BLVD UNIT H
SUN VALLEY CA
91352-2839
US

IV. Provider business mailing address

8705 SUNLAND BLVD UNIT H
SUN VALLEY CA
91352-2839
US

V. Phone/Fax

Practice location:
  • Phone: 747-322-0047
  • Fax: 747-251-0807
Mailing address:
  • Phone: 747-322-0047
  • Fax: 747-251-0807

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: LUSINE ASHRAFYAN
Title or Position: CEO
Credential:
Phone: 747-322-0047