Organization Active NPI

Life Wellness Home Health Care Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1023773827
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFE WELLNESS HOME HEALTH CARE INC
Practice address
6303 Owensmouth Ave 10TH Floor Office 1075
Los Angeles, CA 91367
Phone
(323) 552-3300
NPI assigned
Nov 5, 2021
Last updated
Nov 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shushanik Khachatryan
Title
Owner
Phone
(323) 552-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

6303 Owensmouth Ave 10TH Floor Office 1075
Los Angeles, CA 91367

Mailing address

6303 Owensmouth Ave 10TH Floor Office 1075
Los Angeles, CA 91367
Phone (323) 552-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1023773827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 OWENSMOUTH AVE 10TH FLOOR OFFICE 1075",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "323-552-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 OWENSMOUTH AVE 10TH FLOOR OFFICE 1075",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "323-552-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WELLNESS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "SHUSHANIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-552-3300"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.