Provider Demographics
NPI:1851158836
Name:MOKA HOMECARE LLC
Entity Type:Organization
Organization Name:MOKA HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALAK
Authorized Official - Middle Name:
Authorized Official - Last Name:ELDIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-933-9984
Mailing Address - Street 1:9431 E MEXICO AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-3040
Mailing Address - Country:US
Mailing Address - Phone:720-933-9984
Mailing Address - Fax:
Practice Address - Street 1:9431 E MEXICO AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-3040
Practice Address - Country:US
Practice Address - Phone:720-933-9984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care