Provider Demographics
NPI:1497702658
Name:MHH INCORPORATED
Entity Type:Organization
Organization Name:MHH INCORPORATED
Other - Org Name:MARANATHA HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:SORISANTOS
Authorized Official - Last Name:SARMIENTO
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:817-726-4275
Mailing Address - Street 1:3200 S CARRIER PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-3727
Mailing Address - Country:US
Mailing Address - Phone:972-992-0190
Mailing Address - Fax:972-852-1682
Practice Address - Street 1:3200 S CARRIER PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-3727
Practice Address - Country:US
Practice Address - Phone:972-992-0190
Practice Address - Fax:972-852-1682
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MHH INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-30
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010272251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health