Provider Demographics
NPI:1639477383
Name:MAX HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:MAX HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:REZA
Authorized Official - Last Name:SHAFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-939-9397
Mailing Address - Street 1:5455 WILLSHIRE BLVD
Mailing Address - Street 2:SUITE 2137
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-4201
Mailing Address - Country:US
Mailing Address - Phone:323-939-9397
Mailing Address - Fax:323-939-1240
Practice Address - Street 1:5455 WILSHIRE BLVD.
Practice Address - Street 2:SUITE 2137
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4201
Practice Address - Country:US
Practice Address - Phone:323-939-9397
Practice Address - Fax:323-939-1240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health