Healthcare Provider Details

I. General information

NPI: 1285570416
Provider Name (Legal Business Name): WELLNEST HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6368 VAN NUYS BLVD STE O
VAN NUYS CA
91401-2601
US

IV. Provider business mailing address

6368 VAN NUYS BLVD STE O
VAN NUYS CA
91401-2601
US

V. Phone/Fax

Practice location:
  • Phone: 747-356-2409
  • Fax: 747-356-4319
Mailing address:
  • Phone: 747-356-2409
  • Fax: 747-356-4319

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: ANNETA GRIGORYAN
Title or Position: CEO
Credential:
Phone: 747-356-2409