# WESTSIDE HOME HEALTH CARE, INC.

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

## Provider details

- **NPI number:** 1538654322
- **Authorized official:** KAMILA KHUDYAKOVA (CEO)
- **Authorized official phone:** (747) 255-9888

## Contact information

- **Practice address:** 10929 VANOWEN ST STE 111, NORTH HOLLYWOOD, CA 91605-6428
- **Practice address phone:** (747) 255-9888
- **Practice address fax:** (818) 301-0330
- **Mailing address:** 10929 VANOWEN ST STE 111, NORTH HOLLYWOOD, CA 91605-6428

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2018
- **Last updated:** 06/25/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1 | — | CA |
