Healthcare Provider Details

I. General information

NPI: 1982347175
Provider Name (Legal Business Name): BLUE HORIZON HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6949 RESEDA BLVD. SUITE 201B
VAN NUYS CA
91355-8537
US

IV. Provider business mailing address

6949 RESEDA BLVD. SUITE 201B
VAN NUYS CA
91355-8537
US

V. Phone/Fax

Practice location:
  • Phone: 818-732-4214
  • Fax: 818-732-4298
Mailing address:
  • Phone: 818-732-4214
  • Fax: 818-732-4298

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: MR. GRANT TUPINYAN
Title or Position: CEO
Credential: RN
Phone: 818-331-4949