Provider Demographics
NPI:1417605403
Name:SILVER YEARS HOME HEALTH
Entity Type:Organization
Organization Name:SILVER YEARS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVIT
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKOBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-666-2392
Mailing Address - Street 1:10324 BALBOA BLVD STE 213
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-7349
Mailing Address - Country:US
Mailing Address - Phone:310-666-2392
Mailing Address - Fax:
Practice Address - Street 1:10324 BALBOA BLVD STE 213
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7349
Practice Address - Country:US
Practice Address - Phone:310-666-2392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health