Healthcare Provider Details

I. General information

NPI: 1326566423
Provider Name (Legal Business Name): AKESO HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14621 TITUS ST STE 127
VAN NUYS CA
91402-4909
US

IV. Provider business mailing address

14621 TITUS ST STE 127
VAN NUYS CA
91402-4909
US

V. Phone/Fax

Practice location:
  • Phone: 818-639-9772
  • Fax: 818-639-9772
Mailing address:
  • Phone: 818-639-9772
  • Fax: 818-639-9772

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: GEVORG STEPANYAN
Title or Position: CEO
Credential:
Phone: 818-639-9772