Provider Demographics
NPI:1891372272
Name:LIVING TREE HOME HEALTH
Entity Type:Organization
Organization Name:LIVING TREE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARDANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-728-5365
Mailing Address - Street 1:5311 TOPANGA CANYON BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1754
Mailing Address - Country:US
Mailing Address - Phone:805-728-5365
Mailing Address - Fax:
Practice Address - Street 1:5311 TOPANGA CANYON BLVD STE 212
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1754
Practice Address - Country:US
Practice Address - Phone:805-728-5365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health