Provider Demographics
NPI:1851805527
Name:MAS HOME HEALTH
Entity Type:Organization
Organization Name:MAS HOME HEALTH
Other - Org Name:MAS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MASTHANAIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEJURU
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:202-320-8131
Mailing Address - Street 1:2801 QUEBEC ST NW # N-108
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1227
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2801 QUEBEC ST NW # N-108
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1227
Practice Address - Country:US
Practice Address - Phone:202-320-8131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health