Provider Demographics
NPI:1275287898
Name:HONOLULU HOME HEALTH, INC.
Entity Type:Organization
Organization Name:HONOLULU HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SYUZANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-895-5046
Mailing Address - Street 1:2903 1/2 HONOLULU AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3910
Mailing Address - Country:US
Mailing Address - Phone:747-895-5046
Mailing Address - Fax:747-895-5047
Practice Address - Street 1:2903 1/2 HONOLULU AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91214-3910
Practice Address - Country:US
Practice Address - Phone:747-895-5046
Practice Address - Fax:747-895-5047
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HLH INVESTMENTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health