# DISTINCTIVE HOME HEALTH, INC.

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

## Provider details

- **NPI number:** 1649760281
- **Authorized official:** MR. VILEN MNATSAKANYAN (PRESIDENT/CEO)
- **Authorized official phone:** (818) 484-5730

## Contact information

- **Practice address:** 4502 DYER ST STE 105, LA CRESCENTA, CA 91214-2857
- **Practice address phone:** (818) 484-5730
- **Mailing address:** 4502 DYER ST STE 105, LA CRESCENTA, CA 91214-2857
- **Mailing address phone:** (818) 484-5730
- **Mailing address fax:** (747) 286-2444

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2018
- **Last updated:** 07/05/2023