=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801367461
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ETHOS HOME HEALTH CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/07/2018
-----------------------------------------------------
Last Update Date | 04/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 150 E OLIVE AVE STE 212
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91502-1850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-796-6528
-----------------------------------------------------
Fax | 818-698-3225
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 E OLIVE AVE STE 212
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91502-1850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-796-6528
-----------------------------------------------------
Fax | 818-698-3225
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/PRESIDENT
-----------------------------------------------------
Name | DAVIT GHRJYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-796-6528
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------