Healthy Living at Home - Los Angeles, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000333 Issued in CA

Legal business name

HEALTHY LIVING AT HOME - LOS ANGELES, LLC.

Practice address

150 E Olive Ave Ste 207
Burbank, CA 91502-1850

Phone

(818) 557-8310

Fax

(818) 557-8356

NPI assigned

Jan 22, 2007

Last updated

Feb 15, 2016By 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

Mr. Jason Paul Bliss

Title

Managing Member

Phone

(408) 658-2768

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1265586143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E OLIVE AVE STE 207",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021850",
            "telephone_number": "818-557-8310",
            "fax_number": "818-557-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E OLIVE AVE STE 207",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021850",
            "telephone_number": "818-557-8310",
            "fax_number": "818-557-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING AT HOME - LOS ANGELES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "408-658-2768",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LICENSE",
            "identifier": "550000333",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.