Provider Demographics
NPI:1396448106
Name:SWEET LIFE HOME HEALTH CARE
Entity type:Organization
Organization Name:SWEET LIFE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KNARIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-599-4466
Mailing Address - Street 1:12444 VICTORY BLVD STE 411-R
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3199
Mailing Address - Country:US
Mailing Address - Phone:747-599-4466
Mailing Address - Fax:747-599-4466
Practice Address - Street 1:12444 VICTORY BLVD STE 411-R
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3199
Practice Address - Country:US
Practice Address - Phone:747-599-4466
Practice Address - Fax:747-599-4466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health