MEDICARE: HOPE FOR LIFE HOME HEALTH

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	:	1346131448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE FOR LIFE HOME HEALTH

Provider Business Mailing Address
First Line	:	11336 CAMARILLO ST STE 302
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-3501
Country	:	US
Telephone Number	:	747-203-2958
Fax Number	:	747-203-0372

Provider Business Practice Location Address
First Line	:	11336 CAMARILLO ST STE 302
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-3501
Country	:	US
Telephone Number	:	747-203-2958
Fax Number	:	747-203-0372

Authorized Official
Title or Position	:	CEO
Name	:	RIMA GRIGORYAN
Credential	:
Telephone Number	:	747-203-2958

Provider Enumeration Date	:	07/15/2025
Last Update Date	:	07/15/2025

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Directions to “HOPE FOR LIFE HOME HEALTH ” Practice Location

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