MEDICARE: MHA HOME HEALTH 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	:	1619804846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MHA HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	121 W LEXINGTON DR STE 517B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-3665
Country	:	US
Telephone Number	:	747-330-4994
Fax Number	:	747-400-1580

Provider Business Practice Location Address
First Line	:	121 W LEXINGTON DR STE 517B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-3665
Country	:	US
Telephone Number	:	747-330-4994
Fax Number	:	747-400-1580

Authorized Official
Title or Position	:	CEO
Name	:	GAGIK MANUKYAN
Credential	:
Telephone Number	:	747-330-4994

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

Similar Medicare Providers

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Directions to “MHA HOME HEALTH SERVICES ” Practice Location

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