Provider Demographics
NPI:1467629717
Name:MB HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:MB HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUNIER
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTEVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-261-4206
Mailing Address - Street 1:14750 SW 26TH ST
Mailing Address - Street 2:SUITE 116
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5933
Mailing Address - Country:US
Mailing Address - Phone:305-261-4206
Mailing Address - Fax:305-262-8973
Practice Address - Street 1:14750 SW 26TH ST
Practice Address - Street 2:SUITE 116
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5933
Practice Address - Country:US
Practice Address - Phone:305-261-4206
Practice Address - Fax:305-262-8973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109593Medicare Oscar/Certification