Healthcare Provider Details

I. General information

NPI: 1265016133
Provider Name (Legal Business Name): ESPERANZA HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 11/15/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6924 FOOTHILL BLVD
TUJUNGA CA
91042-2713
US

IV. Provider business mailing address

6924 FOOTHILL BLVD
TUJUNGA CA
91042-2713
US

V. Phone/Fax

Practice location:
  • Phone: 818-875-4129
  • Fax: 818-875-4126
Mailing address:
  • Phone: 818-875-4129
  • Fax: 818-875-4126

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: FARANDZEM VEDIKOVNA ABRAMYAN
Title or Position: OWNER
Credential:
Phone: 818-875-4129