Provider Demographics
NPI:1093163842
Name:INSPIRED LIFE HOME HEALTH INC
Entity Type:Organization
Organization Name:INSPIRED LIFE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAKSHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:PETROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-361-4410
Mailing Address - Street 1:10746 BURBANK BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2528
Mailing Address - Country:US
Mailing Address - Phone:909-361-4410
Mailing Address - Fax:909-361-4440
Practice Address - Street 1:10746 BURBANK BLVD STE D
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2528
Practice Address - Country:US
Practice Address - Phone:909-361-4410
Practice Address - Fax:909-361-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-01
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health