Provider Demographics
NPI:1689349110
Name:INTERNAL LIFE HOME HEALTH, INC
Entity Type:Organization
Organization Name:INTERNAL LIFE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KHNKOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-306-3005
Mailing Address - Street 1:7590 N GLENOAKS BLVD STE 20
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-1003
Mailing Address - Country:US
Mailing Address - Phone:818-306-3005
Mailing Address - Fax:818-306-3007
Practice Address - Street 1:7590 N GLENOAKS BLVD STE 20
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-1003
Practice Address - Country:US
Practice Address - Phone:818-306-3005
Practice Address - Fax:818-306-3007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty