Provider Demographics
NPI:1497000673
Name:THE CAREGIVERS OF MIELE MARTIS
Entity Type:Organization
Organization Name:THE CAREGIVERS OF MIELE MARTIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HONEY
Authorized Official - Middle Name:AURE
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-558-8536
Mailing Address - Street 1:2430 TORRANCE BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2439
Mailing Address - Country:US
Mailing Address - Phone:424-558-8536
Mailing Address - Fax:424-558-8712
Practice Address - Street 1:2430 TORRANCE BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2439
Practice Address - Country:US
Practice Address - Phone:424-558-8536
Practice Address - Fax:424-558-8712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASRVC121221253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care