Organization Active NPI

Shades of Life Home Health LLC

  • Home Health Agency
  • Encino, CA
National Provider Identifier
1750058780
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHADES OF LIFE HOME HEALTH LLC
Practice address
16501 Ventura Blvd Ste 464
Encino, CA 91436-2007
Phone
(818) 562-0587
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Taron Serobyn
Title
Complaence Officer
Phone
(818) 271-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16501 Ventura Blvd Ste 464
Encino, CA 91436-2007

Mailing address

16501 Ventura Blvd Ste 464
Encino, CA 91436-2007
Phone (818) 562-0587

Other names 1

  • SHADES OF LIFE HOME HEALTH LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1750058780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 VENTURA BLVD STE 464",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362007",
            "telephone_number": "818-562-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 VENTURA BLVD STE 464",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362007",
            "telephone_number": "818-562-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES OF LIFE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "SEROBYN",
        "authorized_official_first_name": "TARON",
        "authorized_official_title_or_position": "COMPLAENCE OFFICER",
        "authorized_official_telephone_number": "818-271-9299"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHADES OF LIFE HOME HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.