Provider Demographics
NPI:1093468753
Name:MAVI HOME HEALTH
Entity Type:Organization
Organization Name:MAVI HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VARDANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-650-2225
Mailing Address - Street 1:10700 VENTURA BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-4614
Mailing Address - Country:US
Mailing Address - Phone:818-650-2225
Mailing Address - Fax:818-650-2225
Practice Address - Street 1:10700 VENTURA BLVD STE B
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-4614
Practice Address - Country:US
Practice Address - Phone:818-650-2225
Practice Address - Fax:818-650-2225
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MVI INVESTMENTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-01
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health