1467611780 NPI number — MAGNNO SERVICES, CORP.

Table of content: (NPI 1467611780)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467611780 NPI number — MAGNNO SERVICES, CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAGNNO SERVICES, CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MAGNNO HOME CARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467611780
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
275 FONTAINEBLEAU BLVD
Provider Second Line Business Mailing Address:
SUITE 225 H
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33172-4591
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-559-1454
Provider Business Mailing Address Fax Number:
305-559-1458

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
275 FONTAINEBLEAU BLVD
Provider Second Line Business Practice Location Address:
SUITE 225 H
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33172-4591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-559-1454
Provider Business Practice Location Address Fax Number:
305-559-1458
Provider Enumeration Date:
06/02/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PINO
Authorized Official First Name:
MARGARITA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-553-1454

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  299993201 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)