Organization Active NPI

Soulistic Home Health Care Inc

  • Home Health Agency
  • La Crescenta, CA
National Provider Identifier
1700533965
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOULISTIC HOME HEALTH CARE INC
Practice address
3638 Foothill Blvd
La Crescenta, CA 91214-1738
Phone
(747) 268-7430
Fax
(747) 268-7433
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Khachik Glnjian
Title
Ceo
Phone
(747) 268-7430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3638 Foothill Blvd
La Crescenta, CA 91214-1738

Mailing address

3638 Foothill Blvd
La Crescenta, CA 91214-1738
Phone (747) 268-7430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1700533965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 FOOTHILL BLVD",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141738",
            "telephone_number": "747-268-7430",
            "fax_number": "747-268-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 FOOTHILL BLVD",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141738",
            "telephone_number": "747-268-7430",
            "fax_number": "747-268-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULISTIC HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "GLNJIAN",
        "authorized_official_first_name": "KHACHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-268-7430"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.