OrganizationFairy Dust Health Services, Inc.Home HealthAgenciesPractice Address6741 Van Nuys Blvd Ste 500, Van Nuys, CA 91405-4630(818) 406-5266PECOS EnrollmentBased on the most recent information from CMS, provider Fairy Dust Health Services, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:30 AM.Profile DetailsProvider ID1053142828Provider TypeOrganizationFull NameFairy Dust Health Services, Inc.SubpartNoEnumeration Date8/12/2024Last Updated8/12/2024Contact InformationPractice LocationPractice Address6741 Van Nuys Blvd Ste 500, Van Nuys, CA 91405-4630Phone(818) 406-5266Fax(800) 407-7370Mailing LocationMailing Address6741 Van Nuys Blvd Ste 500, Van Nuys, CA 91405-4630Phone(818) 406-5266Fax(800) 407-7370Authorized OfficialNameMkhitaryan, Ruben (Ceo)Phone(818) 406-5266Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicenseUnlisted Issuer