Provider Demographics
NPI:1548292121
Name:MAYFAIR HOME CARE SERVICES
Entity type:Organization
Organization Name:MAYFAIR HOME CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZANCHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-760-6410
Mailing Address - Street 1:6340 COLDWATER CANYON AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-2908
Mailing Address - Country:US
Mailing Address - Phone:818-760-6410
Mailing Address - Fax:818-762-5707
Practice Address - Street 1:6340 COLDWATER CANYON AVE STE 208
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-2908
Practice Address - Country:US
Practice Address - Phone:818-760-6410
Practice Address - Fax:818-762-5707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty