Provider Demographics
NPI:1871198267
Name:MHIRAMARC HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:MHIRAMARC HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNAND
Authorized Official - Middle Name:BAMBA
Authorized Official - Last Name:TARUC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-319-0224
Mailing Address - Street 1:10919 GOSS ST
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-2732
Mailing Address - Country:US
Mailing Address - Phone:818-319-0224
Mailing Address - Fax:
Practice Address - Street 1:10919 GOSS ST
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-2732
Practice Address - Country:US
Practice Address - Phone:818-319-0224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion TherapyGroup - Multi-Specialty