Healthcare Provider Details

I. General information

NPI: 1740935204
Provider Name (Legal Business Name): GROVE HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2022
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10623 SHERMAN GROVE AVE UNIT 101
SUNLAND CA
91040-2703
US

IV. Provider business mailing address

10623 SHERMAN GROVE AVE UNIT 101
SUNLAND CA
91040-2703
US

V. Phone/Fax

Practice location:
  • Phone: 818-588-4439
  • Fax:
Mailing address:
  • Phone: 818-588-4439
  • 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: STAR A KOCHAKYAN
Title or Position: CEO
Credential:
Phone: 818-588-4439