Look up the most recent NPI and PECOS records

Open Life Home Health, Inc.

Home Health

Agencies

6740 Vesper Ave Ste 203, Van Nuys, CA 91405-4612

PECOS Enrollment

Based on the most recent information from CMS, provider Open Life Home Health, Inc. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:30 AM.

Profile Details

Provider ID
1265951537
Provider Type
Organization
Full Name
Open Life Home Health, Inc.

Subpart
No
Enumeration Date
9/18/2017
Last Updated
7/21/2022

Contact Information

Practice Location

6740 Vesper Ave Ste 203, Van Nuys, CA 91405-4612

(818) 616-8479

(818) 616-8487

Mailing Location

6740 Vesper Ave Ste 203, Van Nuys, CA 91405-4612

(818) 616-8479

(818) 616-8487

Authorized Official

Khrayan, Kevork (Ceo)

(818) 616-8479

Provider Taxonomies

Code	Description	License
Code 251E00000X Primary	Description Home Health Agencies	License Unlisted Issuer

Open Life Home Health, Inc.

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Description

License

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