Provider Demographics
NPI:1598166779
Name:MACHI CAREGIVER & ASSOCIATES
Entity Type:Organization
Organization Name:MACHI CAREGIVER & ASSOCIATES
Other - Org Name:BETTY MINIKWU
Other - Org Type:Other Name
Authorized Official - Title/Position:HOME HEALTH AIDE/HEALTHCARE ADMINIS
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MINIKWU
Authorized Official - Suffix:
Authorized Official - Credentials:HOME HEALTH AIDE/HEA
Authorized Official - Phone:661-209-7171
Mailing Address - Street 1:44221 RAVEN LANE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536
Mailing Address - Country:US
Mailing Address - Phone:661-209-7171
Mailing Address - Fax:661-945-6182
Practice Address - Street 1:44221 RAVEN LANE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536
Practice Address - Country:US
Practice Address - Phone:661-209-7171
Practice Address - Fax:661-945-6182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120562374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty