Provider Demographics
NPI:1477108546
Name:MAZAL NURSING SERVICES INC
Entity Type:Organization
Organization Name:MAZAL NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-554-7010
Mailing Address - Street 1:1930 HARRISON STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-7828
Mailing Address - Country:US
Mailing Address - Phone:954-456-1199
Mailing Address - Fax:954-458-6633
Practice Address - Street 1:1930 HARRISON STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-7828
Practice Address - Country:US
Practice Address - Phone:954-456-1199
Practice Address - Fax:954-458-6633
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAZAL NURSING SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-06
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107976600Medicaid
FL018518500Medicaid