Provider Demographics
NPI:1437372232
Name:LIVI'S HOME HEALTH CARE
Entity Type:Organization
Organization Name:LIVI'S HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MALIHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-502-1902
Mailing Address - Street 1:1224 E BROADWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4048
Mailing Address - Country:US
Mailing Address - Phone:818-502-1902
Mailing Address - Fax:818-502-1980
Practice Address - Street 1:1224 E BROADWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4048
Practice Address - Country:US
Practice Address - Phone:818-502-1902
Practice Address - Fax:818-502-1980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000360251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059043Medicare Oscar/Certification