Provider Demographics
NPI:1740572510
Name:MELL'S HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:MELL'S HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NIVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-868-3224
Mailing Address - Street 1:1440 J.F. KENNEDY CAUSEWAY
Mailing Address - Street 2:SUITE 421
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141
Mailing Address - Country:US
Mailing Address - Phone:305-868-3224
Mailing Address - Fax:305-574-2884
Practice Address - Street 1:1440 J F KENNEDY CSWY
Practice Address - Street 2:SUITE 421
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4188
Practice Address - Country:US
Practice Address - Phone:305-868-3224
Practice Address - Fax:305-574-2884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health