Provider Demographics
NPI:1851669501
Name:MVN HOME CARE INC
Entity Type:Organization
Organization Name:MVN HOME CARE INC
Other - Org Name:MVN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:670-323-6877
Mailing Address - Street 1:PO BOX 9663
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96931-5663
Mailing Address - Country:US
Mailing Address - Phone:671-688-4421
Mailing Address - Fax:
Practice Address - Street 1:KIMS BLDG STE 102 GUALO RAI MIDDLE ROAD
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-323-6877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP20286-0001-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health