Healthcare Provider Details

I. General information

NPI: 1285395772
Provider Name (Legal Business Name): XTRA CARING HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2022
Last Update Date: 01/06/2022
Certification Date: 01/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4881 TOPANGA CANYON BLVD STE 201
WOODLAND HILLS CA
91364-4231
US

IV. Provider business mailing address

4881 TOPANGA CANYON BLVD STE 201
WOODLAND HILLS CA
91364-4231
US

V. Phone/Fax

Practice location:
  • Phone: 818-697-0022
  • Fax: 818-697-0022
Mailing address:
  • Phone: 818-697-0022
  • Fax: 818-697-0022

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: MS. NAIRA HOVHANNISYAN
Title or Position: CEO
Credential:
Phone: 818-697-0022