Healthcare Provider Details

I. General information

NPI: 1982213385
Provider Name (Legal Business Name): MEK HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2020
Last Update Date: 07/31/2020
Certification Date: 07/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 WHEATLAND AVE STE A
SUN VALLEY CA
91352-5316
US

IV. Provider business mailing address

8000 WHEATLAND AVE STE A
SUN VALLEY CA
91352-5316
US

V. Phone/Fax

Practice location:
  • Phone: 909-800-3777
  • Fax:
Mailing address:
  • Phone: 909-800-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE MEKIKIAN
Title or Position: CEO
Credential:
Phone: 909-800-3777