Provider Demographics
NPI:1891990065
Name:HOMELIVING HEALTH PROVIDERS, INC.
Entity Type:Organization
Organization Name:HOMELIVING HEALTH PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMBATYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-609-9000
Mailing Address - Street 1:18321 VENTURA BLVD.
Mailing Address - Street 2:SUITE 780
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6441
Mailing Address - Country:US
Mailing Address - Phone:818-609-9000
Mailing Address - Fax:818-609-9055
Practice Address - Street 1:18321 VENTURA BLVD.
Practice Address - Street 2:SUITE 780
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6441
Practice Address - Country:US
Practice Address - Phone:818-609-9000
Practice Address - Fax:818-609-9055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059048Medicare Oscar/Certification