Healthcare Provider Details

I. General information

NPI: 1750959185
Provider Name (Legal Business Name): MAIN HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2021
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14531 HAMLIN ST STE 130
VAN NUYS CA
91411-4122
US

IV. Provider business mailing address

14531 HAMLIN ST STE 130
VAN NUYS CA
91411-4122
US

V. Phone/Fax

Practice location:
  • Phone: 818-660-0550
  • Fax:
Mailing address:
  • Phone: 818-660-0550
  • Fax:

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: ANI ALEKSANYAN
Title or Position: CEO/CFO/SECRETARY
Credential:
Phone: 818-660-0550