Provider Demographics
NPI:1750854451
Name:MOBILE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:MOBILE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PARUNGAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-290-1125
Mailing Address - Street 1:1771 E. FLAMINGO RD.
Mailing Address - Street 2:SUITE 230-A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5279
Mailing Address - Country:US
Mailing Address - Phone:702-209-2135
Mailing Address - Fax:702-209-3504
Practice Address - Street 1:1771 E. FLAMINGO RD.
Practice Address - Street 2:SUITE 230-A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5279
Practice Address - Country:US
Practice Address - Phone:702-209-2135
Practice Address - Fax:702-209-3504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health