# LIFE HOME HEALTH SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063054849
- **Authorized official:** ALEXANDRE KOUCHAVCHILI (CEO)
- **Authorized official phone:** (747) 233-6111

## Contact information

- **Practice address:** 17337 VENTURA BLVD STE 304, ENCINO, CA 91316-4902
- **Practice address phone:** (747) 233-1116
- **Mailing address:** 17337 VENTURA BLVD STE 304, ENCINO, CA 91316-4902
- **Mailing address phone:** (747) 233-1116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | NULL | — |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 10/13/2019
- **Last updated:** 09/30/2022