Provider Demographics
NPI:1689162497
Name:MHM GROUP, LLC
Entity Type:Organization
Organization Name:MHM GROUP, LLC
Other - Org Name:BABY PAVILION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TABASSUM
Authorized Official - Middle Name:
Authorized Official - Last Name:MITHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-616-7860
Mailing Address - Street 1:1640 2ND ST STE 207
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-2983
Mailing Address - Country:US
Mailing Address - Phone:832-646-1341
Mailing Address - Fax:888-786-5565
Practice Address - Street 1:1640 2ND ST STE 207
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-2983
Practice Address - Country:US
Practice Address - Phone:832-646-1341
Practice Address - Fax:888-786-5565
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MHM GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies