Provider Demographics
NPI:1881333573
Name:LIA HOME HEALTH CARE INC,
Entity type:Organization
Organization Name:LIA HOME HEALTH CARE INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAKELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-756-2088
Mailing Address - Street 1:6454 VAN NUTS BLVD., SUITE 47
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1445
Mailing Address - Country:US
Mailing Address - Phone:818-756-2088
Mailing Address - Fax:818-756-2089
Practice Address - Street 1:6454 VAN NUTS BLVD., SUITE 47
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1445
Practice Address - Country:US
Practice Address - Phone:818-756-2088
Practice Address - Fax:818-756-2089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health