Healthcare Provider Details

I. General information

NPI: 1548100027
Provider Name (Legal Business Name): SMART LIFE HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15904 STRATHERN ST STE 14
VAN NUYS CA
91406-1314
US

IV. Provider business mailing address

15904 STRATHERN ST STE 14
VAN NUYS CA
91406-1314
US

V. Phone/Fax

Practice location:
  • Phone: 669-900-4669
  • Fax: 669-900-1967
Mailing address:
  • Phone: 669-900-4669
  • Fax: 669-900-1967

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: ZHANNA KHURSHUDYAN
Title or Position: CEO
Credential:
Phone: 669-900-4669