Provider Demographics
NPI:1396209169
Name:MALEO HOME CARE LLC
Entity Type:Organization
Organization Name:MALEO HOME CARE LLC
Other - Org Name:FIRSTLIGHT HOME CARE OF PASADENA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:KAPOJOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-360-0048
Mailing Address - Street 1:612 W DUARTE RD STE 404
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9236
Mailing Address - Country:US
Mailing Address - Phone:626-360-0048
Mailing Address - Fax:626-360-0108
Practice Address - Street 1:612 W DUARTE RD STE 404
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9236
Practice Address - Country:US
Practice Address - Phone:626-360-0048
Practice Address - Fax:626-360-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA194700588OtherHOME CARE ORGANIZATIONAL NUMBER