MEDICARE: SUNNY HILLS 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	:	1669128666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNY HILLS HEALTH CARE INC

Provider Business Mailing Address
First Line	:	655 N CENTRAL AVE STE 1710
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-1422
Country	:	US
Telephone Number	:	747-245-3651
Fax Number	:	747-245-3652

Provider Business Practice Location Address
First Line	:	655 N CENTRAL AVE STE 1710
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-1422
Country	:	US
Telephone Number	:	747-245-3651
Fax Number	:	747-245-3652

Authorized Official
Title or Position	:	CEO,CFO,SECRETARY
Name	:	ANNA ASATRYAN
Credential	:
Telephone Number	:	747-245-6352

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	02/28/2022

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