Provider Demographics
NPI:1417595281
Name:MAYERLING HOME HEALTH LLC
Entity Type:Organization
Organization Name:MAYERLING HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:ARMEN
Authorized Official - Last Name:ABRAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-659-0841
Mailing Address - Street 1:1100 E BROADWAY STE 308
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4622
Mailing Address - Country:US
Mailing Address - Phone:818-659-0841
Mailing Address - Fax:818-661-2507
Practice Address - Street 1:1100 E BROADWAY STE 308
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4622
Practice Address - Country:US
Practice Address - Phone:818-659-0841
Practice Address - Fax:818-661-2507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health