Healthcare Provider Details

I. General information

NPI: 1346794872
Provider Name (Legal Business Name): WISH U WELL HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2016
Last Update Date: 05/12/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 FOOTHILL BLVD # A202
TUJUNGA CA
91042-2765
US

IV. Provider business mailing address

6501 FOOTHILL BLVD # A202
TUJUNGA CA
91042-2765
US

V. Phone/Fax

Practice location:
  • Phone: 818-293-3012
  • Fax: 818-760-7359
Mailing address:
  • Phone: 818-293-3012
  • Fax: 818-760-7359

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: MR. HOVHANNES VARDANYAN
Title or Position: CEO
Credential:
Phone: 818-293-3012