Provider Demographics
NPI:1225775687
Name:MLR VENTURES LLC
Entity Type:Organization
Organization Name:MLR VENTURES LLC
Other - Org Name:MLR VENTURES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-604-0687
Mailing Address - Street 1:704 BLUFFWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-8370
Mailing Address - Country:US
Mailing Address - Phone:214-682-2911
Mailing Address - Fax:
Practice Address - Street 1:7311 FOSSIL RIM TRL
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-4458
Practice Address - Country:US
Practice Address - Phone:214-682-2911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MLR VENTURES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-17
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health