Provider Demographics
NPI:1174350987
Name:HEARTY HOME HEALTH
Entity type:Organization
Organization Name:HEARTY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LILIT
Authorized Official - Middle Name:
Authorized Official - Last Name:GINOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-447-2121
Mailing Address - Street 1:5208 LAUREL CANYON BLVD UNIT C
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2710
Mailing Address - Country:US
Mailing Address - Phone:323-447-2121
Mailing Address - Fax:818-452-4525
Practice Address - Street 1:5208 LAUREL CANYON BLVD UNIT C
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2710
Practice Address - Country:US
Practice Address - Phone:323-447-2121
Practice Address - Fax:818-452-4525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health