Provider Demographics
NPI:1528229879
Name:M&M HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:M&M HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-623-0021
Mailing Address - Street 1:10545 BURBANK BLVD
Mailing Address - Street 2:UNIT 108
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2219
Mailing Address - Country:US
Mailing Address - Phone:818-623-0021
Mailing Address - Fax:818-623-0032
Practice Address - Street 1:10545 BURBANK BLVD
Practice Address - Street 2:UNIT 108
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2219
Practice Address - Country:US
Practice Address - Phone:818-623-0021
Practice Address - Fax:818-623-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059125Medicare Oscar/Certification