Healthcare Provider Details

I. General information

NPI: 1437311610
Provider Name (Legal Business Name): INDEPENDENCE HOME HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 FOOTHILL BLVD STE 201C
TUJUNGA CA
91042-2790
US

IV. Provider business mailing address

6501 FOOTHILL BLVD STE 201C
TUJUNGA CA
91042-2790
US

V. Phone/Fax

Practice location:
  • Phone: 818-764-0997
  • Fax: 818-764-0992
Mailing address:
  • Phone: 818-764-0997
  • Fax: 818-764-0992

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: ALVINA TENEKEJIAN
Title or Position: CEO
Credential:
Phone: 818-764-0997