Provider Demographics
NPI:1508071127
Name:MAHDI HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:MAHDI HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NASER
Authorized Official - Middle Name:
Authorized Official - Last Name:KALANI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:303-388-4555
Mailing Address - Street 1:6850 EAST EVANS AVENUE
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2330
Mailing Address - Country:US
Mailing Address - Phone:303-388-4555
Mailing Address - Fax:303-388-4365
Practice Address - Street 1:6850 EAST EVANS AVENUE
Practice Address - Street 2:SUITE # 101
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2330
Practice Address - Country:US
Practice Address - Phone:303-388-4555
Practice Address - Fax:303-388-4365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00683060Medicaid
CO067408Medicare ID - Type Unspecified