MEDICARE: MAYFAIR HOME CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1548292121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAYFAIR HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	6340 COLDWATER CANYON AVE STE 208
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-2908
Country	:	US
Telephone Number	:	818-760-6410
Fax Number	:	818-762-5707

Provider Business Practice Location Address
First Line	:	6340 COLDWATER CANYON AVE STE 208
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-2908
Country	:	US
Telephone Number	:	818-760-6410
Fax Number	:	818-762-5707

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DANIEL KAZANCHIAN
Credential	:
Telephone Number	:	818-760-6410

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	03/25/2024

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Directions to “MAYFAIR HOME CARE SERVICES ” Practice Location

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