1689406779 NPI number — MILOS HOME HEALTH, INC

Table of content: (NPI 1689406779)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689406779 NPI number — MILOS HOME HEALTH, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MILOS HOME HEALTH, 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:
Provider Other Organization Name Type Code:
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:
1689406779
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28751 RANCHO CALIFORNIA RD STE 202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEMECULA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92590-1865
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-676-6006
Provider Business Mailing Address Fax Number:
858-221-0767

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
28751 RANCHO CALIFORNIA RD STE 202
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMECULA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92590-1865
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-676-6006
Provider Business Practice Location Address Fax Number:
858-221-0767
Provider Enumeration Date:
08/16/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VARZDAR
Authorized Official First Name:
ALIREZA
Authorized Official Middle Name:
Authorized Official Title or Position:
CO-OWNER/CFO
Authorized Official Telephone Number:
818-428-9331

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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