MEDICARE: SOCAL DIRECT HOME HEALTH 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	:	1174113948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOCAL DIRECT HOME HEALTH INC

Provider Business Mailing Address
First Line	:	7831 FOOTHILL BLVD STE B
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-2972
Country	:	US
Telephone Number	:	818-210-0185
Fax Number	:	818-210-0334

Provider Business Practice Location Address
First Line	:	7831 FOOTHILL BLVD STE B
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-2972
Country	:	US
Telephone Number	:	818-210-0185
Fax Number	:	818-210-0334

Authorized Official
Title or Position	:	CEO
Name	:	LUSINE ABRAMYAN
Credential	:
Telephone Number	:	818-210-0185

Provider Enumeration Date	:	01/25/2021
Last Update Date	:	02/05/2026

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