MEDICARE: KAYAR 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	:	1194525063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAYAR HOME HEALTH INC

Provider Business Mailing Address
First Line	:	5530 CORBIN AVE STE 325B
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-6037
Country	:	US
Telephone Number	:	818-478-8878
Fax Number	:	818-478-8878

Provider Business Practice Location Address
First Line	:	5530 CORBIN AVE STE 325B
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-6037
Country	:	US
Telephone Number	:	818-478-8878
Fax Number	:	818-478-8878

Authorized Official
Title or Position	:	CEO
Name	:	ARAKSYA RAFAYELYAN
Credential	:
Telephone Number	:	818-478-8878

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	03/18/2025

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