NPI Code Details Logo

NPI 1366194557

NPI 1366194557 : LIGHT HOME HEALTH INC : GLENDALE, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366194557
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LIGHT HOME HEALTH INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/19/2022
-----------------------------------------------------
    Last Update Date     |    12/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    644 W BROADWAY STE 108 
-----------------------------------------------------
    City                 |    GLENDALE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91204-1026
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-946-9774
-----------------------------------------------------
    Fax                  |    818-337-2257
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    644 W BROADWAY STE 108
-----------------------------------------------------
    City                 |    GLENDALE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91204-1026
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-946-9774
-----------------------------------------------------
    Fax                  |    818-337-2257
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     KAREN  ADAMYAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    323-744-4447
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.