Provider Demographics
NPI:1184478547
Name:LOVELY HEART HOME HEALTH, INC.
Entity type:Organization
Organization Name:LOVELY HEART HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDROSSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-434-8549
Mailing Address - Street 1:12722 RIVERSIDE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3370
Mailing Address - Country:US
Mailing Address - Phone:818-434-8549
Mailing Address - Fax:818-856-2004
Practice Address - Street 1:12722 RIVERSIDE DR STE 105
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-3370
Practice Address - Country:US
Practice Address - Phone:818-434-8549
Practice Address - Fax:818-856-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health