Provider Demographics
NPI:1518534106
Name:MAELEE HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:MAELEE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILLEATRO
Authorized Official - Middle Name:
Authorized Official - Last Name:RILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-351-3282
Mailing Address - Street 1:2305 NORTH ST STE 107
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1728
Mailing Address - Country:US
Mailing Address - Phone:409-240-2581
Mailing Address - Fax:
Practice Address - Street 1:2305 NORTH ST STE 107
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1728
Practice Address - Country:US
Practice Address - Phone:409-240-2581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care