Life Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE HOME HEALTH SERVICES INC

Practice address

17337 Ventura Blvd Ste 304
Encino, CA 91316-4902

Phone

(747) 233-1116

NPI assigned

Oct 13, 2019

Organization subpart

No

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

Authorized official

Name

Alexandre Kouchavchili

Title

Ceo

Phone

(747) 233-6111

Specialties & licenses 2

Addresses

Electronic endpoints 1

Listed as

Life Home Health Services, IncCCN 559610

Ownership

Proprietary

Certified

Feb 26, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1063054849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD STE 304",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164902",
            "telephone_number": "747-233-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD STE 304",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164902",
            "telephone_number": "747-233-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "KOUCHAVCHILI",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-233-6111"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.lifehomehealthservices.com",
            "affiliation": "N",
            "address_1": "17337 Ventura Blvd Ste 304",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913164902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Encino, CA
• Providers in Encino, 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 Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.