Healthcare Provider Details

I. General information

NPI: 1255096038
Provider Name (Legal Business Name): YAN HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2021
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13910 FOOTHILL BLVD STE D
SYLMAR CA
91342-3014
US

IV. Provider business mailing address

13910 FOOTHILL BLVD STE D
SYLMAR CA
91342-3014
US

V. Phone/Fax

Practice location:
  • Phone: 747-225-1992
  • Fax:
Mailing address:
  • Phone: 747-225-1992
  • 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: DARIA LIPATOVA
Title or Position: CEO
Credential:
Phone: 747-225-1992