Provider Demographics
NPI:1902519481
Name:YOUR LIFE HOME HEALTH
Entity Type:Organization
Organization Name:YOUR LIFE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VARDUI
Authorized Official - Middle Name:
Authorized Official - Last Name:YEPREMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-446-9890
Mailing Address - Street 1:8705 SUNLAND BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-2839
Mailing Address - Country:US
Mailing Address - Phone:818-446-9890
Mailing Address - Fax:818-492-1297
Practice Address - Street 1:8705 SUNLAND BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-2839
Practice Address - Country:US
Practice Address - Phone:818-446-9890
Practice Address - Fax:818-492-1297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health