Healthcare Provider Details

I. General information

NPI: 1508560517
Provider Name (Legal Business Name): GIVING HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6308 WOODMAN AVE STE 102
VAN NUYS CA
91401-2368
US

IV. Provider business mailing address

6308 WOODMAN AVE STE 102
VAN NUYS CA
91401-2368
US

V. Phone/Fax

Practice location:
  • Phone: 818-697-4664
  • Fax: 818-697-4664
Mailing address:
  • Phone: 818-697-4664
  • Fax: 818-697-4664

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: MS. ANGELA AVETISYAN
Title or Position: CEO
Credential:
Phone: 818-697-4664