Provider Demographics
NPI:1598334138
Name:FOREVER YOUNG HOME HEALTH
Entity Type:Organization
Organization Name:FOREVER YOUNG HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSENYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-360-2004
Mailing Address - Street 1:1055 E COLORADO BLVD STE 5120
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2327
Mailing Address - Country:US
Mailing Address - Phone:818-371-7611
Mailing Address - Fax:
Practice Address - Street 1:1055 E COLORADO BLVD STE 5120
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2327
Practice Address - Country:US
Practice Address - Phone:818-371-7611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREEN LIGHT HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-18
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health