Provider Demographics
NPI:1831799204
Name:LIFEPRO HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:LIFEPRO HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARTANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-660-2929
Mailing Address - Street 1:221 E GLENOAKS BLVD # 222B
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-2085
Mailing Address - Country:US
Mailing Address - Phone:818-660-2929
Mailing Address - Fax:818-660-2935
Practice Address - Street 1:221 E GLENOAKS BLVD # 222B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-2085
Practice Address - Country:US
Practice Address - Phone:818-660-2929
Practice Address - Fax:818-660-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health