Provider Demographics
NPI:1437316155
Name:MJR HOME HEALTH GROUP, INC.
Entity Type:Organization
Organization Name:MJR HOME HEALTH GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-488-1882
Mailing Address - Street 1:8672 BIRD RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3265
Mailing Address - Country:US
Mailing Address - Phone:305-559-5200
Mailing Address - Fax:305-220-1081
Practice Address - Street 1:8672 BIRD RD
Practice Address - Street 2:SUITE 204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3265
Practice Address - Country:US
Practice Address - Phone:305-559-5200
Practice Address - Fax:305-220-1081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health