Provider Demographics
NPI:1164134961
Name:FIRST LIGHT HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:FIRST LIGHT HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-616-4040
Mailing Address - Street 1:14525 VANOWEN ST UNIT 3A
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3941
Mailing Address - Country:US
Mailing Address - Phone:818-616-4040
Mailing Address - Fax:818-616-4072
Practice Address - Street 1:14525 VANOWEN ST UNIT 3A
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3941
Practice Address - Country:US
Practice Address - Phone:818-616-4040
Practice Address - Fax:818-616-4072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health