Provider Demographics
NPI:1417523804
Name:MIRAS HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:MIRAS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:URBANOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-473-4466
Mailing Address - Street 1:6900 CANBY AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-8731
Mailing Address - Country:US
Mailing Address - Phone:818-473-4466
Mailing Address - Fax:818-975-5221
Practice Address - Street 1:6900 CANBY AVE STE 110
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-8731
Practice Address - Country:US
Practice Address - Phone:818-473-4466
Practice Address - Fax:818-975-5221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health