Provider Demographics
NPI:1083870489
Name:MCHALE GROUP, LLC
Entity Type:Organization
Organization Name:MCHALE GROUP, LLC
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCHALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-412-7190
Mailing Address - Street 1:3314 HENDERSON BLVD
Mailing Address - Street 2:SUITE 100-M
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609
Mailing Address - Country:US
Mailing Address - Phone:813-412-7190
Mailing Address - Fax:
Practice Address - Street 1:3314 HENDERSON BLVD
Practice Address - Street 2:SUITE 100-M
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2998
Practice Address - Country:US
Practice Address - Phone:813-412-7190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230164305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service