Healthcare Provider Details

I. General information

NPI: 1629746326
Provider Name (Legal Business Name): HEALING DAYS HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19725 SHERMAN WAY
WINNETKA CA
91306-3650
US

IV. Provider business mailing address

19725 SHERMAN WAY
WINNETKA CA
91306-3650
US

V. Phone/Fax

Practice location:
  • Phone: 323-448-3616
  • Fax:
Mailing address:
  • Phone: 323-448-3616
  • 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: DARIA LIPATOVA
Title or Position: CEO
Credential:
Phone: 323-448-3616