Provider Demographics
NPI:1578213419
Name:ALL LIFE HOME HEALTH INC.
Entity Type:Organization
Organization Name:ALL LIFE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GOHAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:TOSUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-800-3810
Mailing Address - Street 1:9029 RESEDA BLVD STE 210B
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3932
Mailing Address - Country:US
Mailing Address - Phone:747-800-3810
Mailing Address - Fax:747-800-3811
Practice Address - Street 1:9029 RESEDA BLVD STE 210B
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3932
Practice Address - Country:US
Practice Address - Phone:747-800-3810
Practice Address - Fax:747-800-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health