MEDICARE: MAX CARE HOME HEALTH INC

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	:	1104572023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAX CARE HOME HEALTH INC

Provider Business Mailing Address
First Line	:	6260 LAUREL CANYON BLVD STE 204
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3243
Country	:	US
Telephone Number	:	818-809-2462
Fax Number	:	818-570-9866

Provider Business Practice Location Address
First Line	:	6260 LAUREL CANYON BLVD STE 204
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3243
Country	:	US
Telephone Number	:	818-809-2462
Fax Number	:	818-570-9866

Authorized Official
Title or Position	:	CEO,CFO,SECRETARY
Name	:	MARINE DANIELYAN
Credential	:
Telephone Number	:	818-809-2462

Provider Enumeration Date	:	03/01/2022
Last Update Date	:	04/08/2024

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Directions to “MAX CARE HOME HEALTH INC ” Practice Location

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