Mayfair Adult Day Health Care Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

060000718 Issued in CA

Legal business name

MAYFAIR ADULT DAY HEALTH CARE INC.

Practice address

1627 W 20TH St
Los Angeles, CA 90007-1102

Phone

(323) 299-8788

Fax

(323) 299-8726

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lyudmila Prudkov

Title

President

Phone

(323) 766-5363

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1346347697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 W 20TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900071102",
            "telephone_number": "323-766-5363",
            "fax_number": "323-766-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 W 20TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900071102",
            "telephone_number": "323-299-8788",
            "fax_number": "323-299-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR ADULT DAY HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "PRUDKOV",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-766-5363",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70196F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "ADU70196F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Violet C Mayers, NP
• Brandy Leann Mayes
• Bria Mayes, MS
• Mykeisha Evelyn Mayes
• Vladyslav Mayevski
• Douglas Mayfield, MD
• Jackae Mayfield
• Carol Ann Mayhew, PH.D.
• Maylin Gonzalez OD an Optometric Corporation
• Elizabeth Maymoun, DDS

• Adult Day Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.