Provider Demographics
NPI:1487008660
Name:MISSION HEALTH, LLC
Entity Type:Organization
Organization Name:MISSION HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MBAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-212-8948
Mailing Address - Street 1:2232 CHATHAM WAY
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-6343
Mailing Address - Country:US
Mailing Address - Phone:858-212-8948
Mailing Address - Fax:
Practice Address - Street 1:2232 CHATHAM WAY
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3959
Practice Address - Country:US
Practice Address - Phone:858-212-8948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based