# VIDACARE

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

## Provider details

- **NPI number:** 1235785858
- **Authorized official:** LIANA HOVHANNISYAN (CEO)
- **Authorized official phone:** (818) 858-9050

## Contact information

- **Practice address:** 13701 RIVERSIDE DR STE 705, SHERMAN OAKS, CA 91423-2449
- **Practice address phone:** (818) 858-9050
- **Mailing address:** 13701 RIVERSIDE DR STE 705, SHERMAN OAKS, CA 91423-2449
- **Mailing address phone:** (818) 858-9050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2019
- **Last updated:** 02/24/2022