=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194180711
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DELIGHT HOME HEALTH CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/25/2015
-----------------------------------------------------
Last Update Date | 03/17/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14435 HAMLIN ST STE 203
-----------------------------------------------------
City | VAN NUYS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91401-6205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-368-1331
-----------------------------------------------------
Fax | 562-368-1053
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14435 HAMLIN ST STE 203
-----------------------------------------------------
City | VAN NUYS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91401-6205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-368-1331
-----------------------------------------------------
Fax | 562-368-1053
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MS. ARMINE HARUTYUNYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-731-3507
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 42763
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------