Provider Demographics
NPI:1992452262
Name:LIVING LIFE HOME HEALTH INC
Entity type:Organization
Organization Name:LIVING LIFE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADATYAN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:818-484-8401
Mailing Address - Street 1:1522 W GLENOAKS BLVD UNIT D
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1913
Mailing Address - Country:US
Mailing Address - Phone:818-484-8401
Mailing Address - Fax:818-484-8400
Practice Address - Street 1:1522 W GLENOAKS BLVD UNIT D
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1913
Practice Address - Country:US
Practice Address - Phone:818-484-8401
Practice Address - Fax:818-484-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health