Provider Demographics
NPI:1710106729
Name:MIRKIN & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:MIRKIN & ASSOCIATES, INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-747-3541
Mailing Address - Street 1:805 MAHONING AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-1407
Mailing Address - Country:US
Mailing Address - Phone:330-747-3541
Mailing Address - Fax:330-744-3936
Practice Address - Street 1:805 MAHONING AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-1407
Practice Address - Country:US
Practice Address - Phone:330-747-3541
Practice Address - Fax:330-744-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3573527Medicaid