Source of Life Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOURCE OF LIFE HOME CARE

Practice address

23560 Lyons Ave Ste 205
Newhall, CA 91321-5721

Phone

(661) 425-7162

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tigran Hakobyan

Title

President/Ceo

Phone

(661) 425-7162

Specialties & licenses 1

Addresses

Other names 1

• Source of Life Home Care Former legal business name

Locations

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1043814627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23560 LYONS AVE STE 205",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215721",
            "telephone_number": "661-425-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23560 LYONS AVE STE 205",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215721",
            "telephone_number": "661-425-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE OF LIFE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "661-425-7162"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Source of Life Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Omika Smart
• Sofia J Baltazar DDS Inc (TL Dental Scaler Co)
• Sara Soliman, MS
• Sonus-USA, Inc.
• Lynette McDonald Soto, CLINICAL PSYCHOLOGIS
• Julie C Speak, SLP
• Stanley P Henderson D C a Professional Corporation (White Light Chiropractic Center)
• Steven H Baron MD PHD a Prof Corp
• Bobi Marie Stone
• Susan Foster Stone, PHD

• Home Health Agency in Newhall, CA
• Providers in Newhall, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.