=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821744327
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AAY HOME HEALTH INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2022
-----------------------------------------------------
Last Update Date | 05/17/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12444 VICTORY BLVD STE 301-K2
-----------------------------------------------------
City | NORTH HOLLYWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-251-9040
-----------------------------------------------------
Fax | 626-257-2333
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12444 VICTORY BLVD STE 301-K2
-----------------------------------------------------
City | NORTH HOLLYWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-251-9040
-----------------------------------------------------
Fax | 626-257-2333
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO,CEO,SECRETARY
-----------------------------------------------------
Name | YURA ATAYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 888-251-9040
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------