Provider Demographics
NPI:1801437454
Name:ILLUMINATE HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:ILLUMINATE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GAYANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAKELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-987-4173
Mailing Address - Street 1:10545 BURBANK BLVD STE 137
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2249
Mailing Address - Country:US
Mailing Address - Phone:818-987-4173
Mailing Address - Fax:818-235-0135
Practice Address - Street 1:10545 BURBANK BLVD STE 137
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2249
Practice Address - Country:US
Practice Address - Phone:818-987-4173
Practice Address - Fax:818-235-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-04
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health