MEDICARE: AMELIA HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1154277333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMELIA HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	125 S LOUISE ST STE 125
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1024
Country	:	US
Telephone Number	:	818-795-5381
Fax Number	:	747-474-4065

Provider Business Practice Location Address
First Line	:	125 S LOUISE ST STE 125
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1024
Country	:	US
Telephone Number	:	818-795-5381
Fax Number	:	747-474-4065

Authorized Official
Title or Position	:	CEO
Name	:	DIANA AYVAZYAN
Credential	:
Telephone Number	:	818-795-5381

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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