Healthcare Provider Details

I. General information

NPI: 1972105500
Provider Name (Legal Business Name): HEART AT HOME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 06/11/2021
Certification Date: 06/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6356 VAN NUYS BLVD STE 212
VAN NUYS CA
91401-2741
US

IV. Provider business mailing address

6356 VAN NUYS BLVD STE 212
VAN NUYS CA
91401-2741
US

V. Phone/Fax

Practice location:
  • Phone: 818-387-6391
  • Fax:
Mailing address:
  • Phone: 818-387-6391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROUZANNA SARKISIAN
Title or Position: CEO
Credential:
Phone: 818-387-6391