Provider Demographics
NPI:1750046231
Name:MAKING MEMORIES HOME HEALTH INC
Entity Type:Organization
Organization Name:MAKING MEMORIES HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANSEL
Authorized Official - Middle Name:SANTOS
Authorized Official - Last Name:BATISTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-810-7553
Mailing Address - Street 1:7827 N DALE MABRY HWY STE 212
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3261
Mailing Address - Country:US
Mailing Address - Phone:813-810-7553
Mailing Address - Fax:
Practice Address - Street 1:7827 N DALE MABRY HWY STE 212
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3261
Practice Address - Country:US
Practice Address - Phone:813-810-7553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health