Provider Demographics
NPI:1679349179
Name:MS FAMILY HOME HEALTH CARE
Entity type:Organization
Organization Name:MS FAMILY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYANTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-923-1433
Mailing Address - Street 1:16200 VENTURA BLVD STE 406
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4695
Mailing Address - Country:US
Mailing Address - Phone:818-923-1433
Mailing Address - Fax:
Practice Address - Street 1:16200 VENTURA BLVD STE 406
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4695
Practice Address - Country:US
Practice Address - Phone:818-923-1433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health