MEDICARE: M.A. HOME HEALTH SERVICES, 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	:	1942693338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M.A. HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	3800 W BURBANK BLVD STE 100
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2147
Country	:	US
Telephone Number	:	818-562-7468
Fax Number	:	818-688-0607

Provider Business Practice Location Address
First Line	:	3800 W BURBANK BLVD STE 100
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2147
Country	:	US
Telephone Number	:	818-562-7468
Fax Number	:	818-688-0607

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	ZOGRAB NADZHARYAN
Credential	:
Telephone Number	:	818-562-7468

Provider Enumeration Date	:	03/10/2015
Last Update Date	:	08/12/2021

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