Provider Demographics
NPI:1902573918
Name:CALIFORNIA STATE HOME HEALTH AGENCY, INC.
Entity type:Organization
Organization Name:CALIFORNIA STATE HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:818-424-9658
Mailing Address - Street 1:15545 DEVONSHIRE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2655
Mailing Address - Country:US
Mailing Address - Phone:310-943-0033
Mailing Address - Fax:310-304-4452
Practice Address - Street 1:15545 DEVONSHIRE ST STE 204
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2655
Practice Address - Country:US
Practice Address - Phone:310-943-0033
Practice Address - Fax:310-304-4452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health