1144463282 NPI number — M N R HEALTHCARE INC

Table of content: (NPI 1144463282)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144463282 NPI number — M N R HEALTHCARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
M N R HEALTHCARE INC
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:
HEAVEN AT HOME HEALTH 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:
1144463282
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14077 CEDAR RD
Provider Second Line Business Mailing Address:
LL4
Provider Business Mailing Address City Name:
SOUTH EUCLID
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44118-3338
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-321-0424
Provider Business Mailing Address Fax Number:
216-321-0125

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14077 CEDAR RD
Provider Second Line Business Practice Location Address:
LL4
Provider Business Practice Location Address City Name:
SOUTH EUCLID
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44118-3338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-321-0124
Provider Business Practice Location Address Fax Number:
216-321-0125
Provider Enumeration Date:
04/18/2009

Additional Information

Authorized Official

Authorized Official Last Name:
RASHID
Authorized Official First Name:
RASHID
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
216-321-0124

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 344600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 347B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 347C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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