MAYFAIR ADULT DAY HEALTH CARE INC. (NPI# 1346347697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346347697 |
| Entity Type | Organization |
| Organization Name | MAYFAIR ADULT DAY HEALTH CARE INC. |
| Practice Address |
1627 W 20th St Los Angeles CA 90007-1102 |
| Practice Telephone | 3232998788 |
| Practice Fax Number | 3232998726 |
| Mailing Telephone | 3237665363 |
| Mailing Fax Number | 3237665364 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | MS. LYUDMILA PRUDKOV (PRESIDENT) |
| Authorized Official Telephone | 3237665363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
060000718 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | ADU70196F | 01 |
| CA | ADU70196F | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAYFAIR ADULT DAY HEALTH CARE INC | 1627 W 20th St, Los Angeles, CA 90007-1102 |
| Street Address |
1627 W 20TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90007-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1639690803 | Michelle Pittman | Registered Nurse | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
| 1568983773 | Debbie Sharon Gillett | Registered Nurse | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
| 1043749435 | Tamika Brown | Driver | 2947 Van Buren Place, Los Angeles, CA 90007 | 2017-06-08 |
| 1356891857 | Eli Gendler | General Practice | 2501 South Hill St., Los Angeles, CA 90007 | 2016-10-07 |
| 1770037715 | Jennifer R Knutson | Nurse Practitioner | 2409 S. Vermont Ave., Los Angeles, CA 90007 | 2016-08-08 |
| 1386006088 | Matthew Welzenbach | Internal Medicine | St. John's Well Child, 1910 Magnolia Ave #101, Los Angeles, CA 90007 | 2016-03-22 |
| 1316315765 | Gary L Nollins | Counselor | 145 W 22ns Street, Los Angeles, CA 90007 | 2015-09-02 |
| 1861882698 | Tarlan, P. Akhavan Dds A Prof Corp | Dentist | 2407 South Vermont Ave, Los Angeles, CA 90007 | 2015-02-02 |
| 1316341258 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 854 West Adams Blvd, Los Angeles, CA 90007 | 2014-10-21 |
| Find all providers in zip 90007 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790314201 | Bright & Right Adult Day Health Care, Inc. | Clinic/Center | 261 S Kenmore Ave, Los Angeles, CA 90004-5604 | 2020-04-06 |
| 1578193801 | Jmk Residential Facility | Clinic/Center | 1278 E 125th St, Los Angeles, CA 90059-3216 | 2020-01-26 |
| 1679118475 | Heavenly Adhc, Inc. | Clinic/Center | 4777 Santa Monica Blvd, Los Angeles, CA 90029-2631 | 2019-11-15 |
| 1760026298 | Bliss Health Care Services, Inc. | Clinic/Center | 1501 W Washington Blvd, Los Angeles, CA 90007-1258 | 2019-10-28 |
| 1912555202 | Sun Bay Koreatown, LLC | Clinic/Center | 3060 W Olympic Blvd # 120, Los Angeles, CA 90006-3832 | 2019-08-29 |
| 1558921601 | Crenshaw Community Center LLC | Clinic/Center | 1060 Crenshaw Blvd, Los Angeles, CA 90019-1900 | 2019-06-19 |
| 1760042915 | Koreatown Senior Center LLC | Clinic/Center | 3400 W Olympic Blvd, Los Angeles, CA 90019-2122 | 2019-06-19 |
| 1306308499 | Lily Adult Day Health Care Center | Clinic/Center | 610 S Kingsley Dr, Los Angeles, CA 90005-2318 | 2019-04-05 |
| 1184102287 | Koreatown Community Based Services, Inc. | Clinic/Center | 2140 W Olympic Blvd Ste 100, Los Angeles, CA 90006-2250 | 2018-07-31 |
| 1962918334 | Brown and Pipkins Corporation | Clinic/Center | 10924 S Vermont Ave, Los Angeles, CA 90044-3016 | 2017-12-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90007 |
Please comment or provide details below to improve the information on MAYFAIR ADULT DAY HEALTH CARE INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.