MEDICARE: AT-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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1295472314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT-HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	28924 S WESTERN AVE STE 100F
Second Line	:
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-0885
Country	:	US
Telephone Number	:	310-757-2037
Fax Number	:	310-742-0474

Provider Business Practice Location Address
First Line	:	28924 S WESTERN AVE STE 100F
Second Line	:
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-0885
Country	:	US
Telephone Number	:	310-757-2037
Fax Number	:	310-742-0474

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ARMINE ANTONYAN
Credential	:
Telephone Number	:	424-362-6891

Provider Enumeration Date	:	05/19/2022
Last Update Date	:	05/05/2026

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Directions to “AT-HOME HEALTH, INC. ” Practice Location

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