Provider Demographics
NPI:1306183751
Name:M-SAC, INC.
Entity Type:Organization
Organization Name:M-SAC, INC.
Other - Org Name:TRILOGY HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-697-3606
Mailing Address - Street 1:1645 PALM BEACH LAKES BLVD STE 1100
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2218
Mailing Address - Country:US
Mailing Address - Phone:561-697-3606
Mailing Address - Fax:561-697-3615
Practice Address - Street 1:5575 S SEMORAN BLVD STE 19
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-1781
Practice Address - Country:US
Practice Address - Phone:407-259-2272
Practice Address - Fax:407-386-7265
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VITALITY HOME CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-04
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health