Provider Demographics
NPI:1861002453
Name:ACTIVE LIGHT HOME HEALTH INC
Entity type:Organization
Organization Name:ACTIVE LIGHT HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSENYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-513-3240
Mailing Address - Street 1:23236 LYONS AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-5024
Mailing Address - Country:US
Mailing Address - Phone:661-513-3240
Mailing Address - Fax:
Practice Address - Street 1:150 E OLIVE AVE STE 109
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1849
Practice Address - Country:US
Practice Address - Phone:661-513-3240
Practice Address - Fax:661-244-2819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health