MEDICARE: GUIDING STAR HHA

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	:	1962396994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDING STAR HHA

Provider Business Mailing Address
First Line	:	805 E WILSON AVE STE 4
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4457
Country	:	US
Telephone Number	:	747-338-8276
Fax Number	:	747-297-6949

Provider Business Practice Location Address
First Line	:	805 E WILSON AVE STE 4
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4457
Country	:	US
Telephone Number	:	747-338-8276
Fax Number	:	747-297-6949

Authorized Official
Title or Position	:	CEO
Name	:	LUSINE MEHRABYAN
Credential	:
Telephone Number	:	747-338-8276

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	06/04/2025

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