Provider Demographics
NPI:1457675456
Name:MT. SINAI HOME ASSISTED LIVING, LLC
Entity Type:Organization
Organization Name:MT. SINAI HOME ASSISTED LIVING, LLC
Other - Org Name:MT. SINAI HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLAPEJU
Authorized Official - Middle Name:O
Authorized Official - Last Name:OLATEJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-575-7739
Mailing Address - Street 1:15006 EMPANADA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4411
Mailing Address - Country:US
Mailing Address - Phone:281-575-7739
Mailing Address - Fax:
Practice Address - Street 1:15006 EMPANADA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4411
Practice Address - Country:US
Practice Address - Phone:281-575-7739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health