Provider Demographics
NPI:1821791427
Name:MICRO CARE LLC
Entity Type:Organization
Organization Name:MICRO CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:SERREYAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-812-9556
Mailing Address - Street 1:1079 HORATIO AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-6151
Mailing Address - Country:US
Mailing Address - Phone:442-400-0442
Mailing Address - Fax:
Practice Address - Street 1:1079 HORATIO AVE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-6151
Practice Address - Country:US
Practice Address - Phone:442-400-0442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care