Healthcare Provider Details

I. General information

NPI: 1205499712
Provider Name (Legal Business Name): SIGNIFICANT HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2019
Last Update Date: 04/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10012 COMMERCE AVE STE B
TUJUNGA CA
91042-2304
US

IV. Provider business mailing address

10012 COMMERCE AVE STE B
TUJUNGA CA
91042-2304
US

V. Phone/Fax

Practice location:
  • Phone: 818-875-4175
  • Fax:
Mailing address:
  • Phone: 818-875-4175
  • 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: ERIK GHUKASYAN
Title or Position: CEO
Credential:
Phone: 818-875-4175