Provider Demographics
NPI:1841806734
Name:LIFESPRING HOME HEALTH INC
Entity Type:Organization
Organization Name:LIFESPRING HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VAHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHRJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-855-9613
Mailing Address - Street 1:2233 HONOLULU AVE UNIT 304
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1635
Mailing Address - Country:US
Mailing Address - Phone:818-855-9613
Mailing Address - Fax:213-357-2908
Practice Address - Street 1:2233 HONOLULU AVE UNIT 304
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1635
Practice Address - Country:US
Practice Address - Phone:818-855-9613
Practice Address - Fax:213-357-2908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health