1689904658 NPI number — M & L GREEN HOME HEALTH LLC

Table of content: (NPI 1689904658)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689904658 NPI number — M & L GREEN HOME HEALTH LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
M & L GREEN HOME HEALTH LLC
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:
HOME INSTEAD SENIOR 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:
1689904658
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/13/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2351 W EAU GALLIE BLVD
Provider Second Line Business Mailing Address:
SUITE 1
Provider Business Mailing Address City Name:
MELBOURNE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32935-3114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
321-751-1003
Provider Business Mailing Address Fax Number:
321-751-0607

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2351 W EAU GALLIE BLVD
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
MELBOURNE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32935-3114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-751-1003
Provider Business Practice Location Address Fax Number:
321-751-0607
Provider Enumeration Date:
01/13/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PURCELL
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
HELEN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
321-751-1003

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)