Provider Demographics
NPI:1215687868
Name:SUNNY DAY HOME HEALTH INC
Entity type:Organization
Organization Name:SUNNY DAY HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRIGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:AVETISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-977-6520
Mailing Address - Street 1:17547 VENTURA BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3856
Mailing Address - Country:US
Mailing Address - Phone:747-977-6520
Mailing Address - Fax:
Practice Address - Street 1:17547 VENTURA BLVD STE 303
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3856
Practice Address - Country:US
Practice Address - Phone:747-977-6520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-26
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health