# MEDLIGHT HOME HEALTH CARE 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:** 1598317414
- **Authorized official:** ANNA SHAKHVALADYAN (CEO)
- **Authorized official phone:** (747) 212-1234

## Contact information

- **Practice address:** 17327 VENTURA BLVD STE 310, ENCINO, CA 91316-4931
- **Practice address phone:** (747) 212-1117
- **Mailing address:** 17327 VENTURA BLVD STE 310, ENCINO, CA 91316-4931
- **Mailing address phone:** (747) 212-1117

## Taxonomy

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

## Other

- **Enumeration date:** 07/11/2019
- **Last updated:** 07/11/2019

## Other identifiers

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