Healthcare Provider Details

I. General information

NPI: 1184561904
Provider Name (Legal Business Name): LUNA HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 W BROAD ST STE 319
FALLS CHURCH VA
22046-3318
US

IV. Provider business mailing address

450 W BROAD ST STE 319
FALLS CHURCH VA
22046-3318
US

V. Phone/Fax

Practice location:
  • Phone: 818-722-7777
  • Fax:
Mailing address:
  • Phone:
  • 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: GAYANE TUTYAN
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 818-722-7777