Provider Demographics
NPI:1144739335
Name:M I L E S COMMUNITY CARE SERVICES LLC
Entity Type:Organization
Organization Name:M I L E S COMMUNITY CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMINAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MALDONADO-HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-767-4202
Mailing Address - Street 1:337 BONAIR AVE
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-4601
Mailing Address - Country:US
Mailing Address - Phone:215-767-4202
Mailing Address - Fax:
Practice Address - Street 1:337 BONAIR AVE
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-4601
Practice Address - Country:US
Practice Address - Phone:215-767-4202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care