Provider Demographics
NPI:1780212803
Name:MUBARAK LLC
Entity Type:Organization
Organization Name:MUBARAK LLC
Other - Org Name:AGING GRACEFULLY HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABJANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-925-7621
Mailing Address - Street 1:8627 CRESCENT SPUR DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3611
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:713-730-3632
Practice Address - Street 1:8627 CRESCENT SPUR DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3611
Practice Address - Country:US
Practice Address - Phone:713-505-7775
Practice Address - Fax:713-730-3632
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUBARAK LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-01
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child