Provider Demographics
NPI:1528567310
Name:MZL HOME CARE AGENCY, LLC
Entity Type:Organization
Organization Name:MZL HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-575-9090
Mailing Address - Street 1:1819 EAST 13TH STREET
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2870
Mailing Address - Country:US
Mailing Address - Phone:718-575-9090
Mailing Address - Fax:718-872-5614
Practice Address - Street 1:1819 EAST 13TH STREET
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2870
Practice Address - Country:US
Practice Address - Phone:718-575-9090
Practice Address - Fax:718-872-5614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1729L002251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health