Provider Demographics
NPI:1629457122
Name:MALAIKA HOME CARE LLC
Entity Type:Organization
Organization Name:MALAIKA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-876-1062
Mailing Address - Street 1:225 BROADWAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3198
Mailing Address - Country:US
Mailing Address - Phone:978-876-1062
Mailing Address - Fax:
Practice Address - Street 1:225 BROADWAY
Practice Address - Street 2:SUITE 203
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3198
Practice Address - Country:US
Practice Address - Phone:978-876-1062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health