MEDICARE: SILVER LAKE HH 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	:	1831851161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER LAKE HH INC

Provider Business Mailing Address
First Line	:	807 E WILSON AVE UNIT 2
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4457
Country	:	US
Telephone Number	:	818-531-4968
Fax Number	:

Provider Business Practice Location Address
First Line	:	807 E WILSON AVE UNIT 2
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4457
Country	:	US
Telephone Number	:	818-531-4968
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROBERT AMIRYAN
Credential	:
Telephone Number	:	818-531-4968

Provider Enumeration Date	:	10/13/2021
Last Update Date	:	10/13/2021

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Directions to “SILVER LAKE HH INC ” Practice Location

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