Healthcare Provider Details

I. General information

NPI: 1437689031
Provider Name (Legal Business Name): FACE 2 FACE HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 FOOTHILL BLVD., SUITE 202B
TUJUNGA CA
91042-2790
US

IV. Provider business mailing address

6501 FOOTHILL BLVD STE 202B
TUJUNGA CA
91042-2790
US

V. Phone/Fax

Practice location:
  • Phone: 747-207-1515
  • Fax: 747-207-1551
Mailing address:
  • Phone: 747-207-1515
  • Fax: 747-207-1551

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: KRISTINA MOVSESIAN
Title or Position: PRESIDENT/DOPCS
Credential: RN
Phone: 818-284-9347