Healthcare Provider Details

I. General information

NPI: 1538076237
Provider Name (Legal Business Name): BLESSED HOME SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20505 LONDELIUS ST
WINNETKA CA
91306-1020
US

IV. Provider business mailing address

20505 LONDELIUS ST
WINNETKA CA
91306-1020
US

V. Phone/Fax

Practice location:
  • Phone: 323-318-0956
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: GAYANE SARGSYAN
Title or Position: OWNER
Credential:
Phone: 323-318-0956