Provider Demographics
NPI:1891168936
Name:MASONBROOKS HOME CARE
Entity Type:Organization
Organization Name:MASONBROOKS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-460-2214
Mailing Address - Street 1:10923 SHAKER POINT WAY
Mailing Address - Street 2:#11
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-4963
Mailing Address - Country:US
Mailing Address - Phone:513-460-2214
Mailing Address - Fax:
Practice Address - Street 1:10923 SHAKER POINT WAY
Practice Address - Street 2:#11
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-4963
Practice Address - Country:US
Practice Address - Phone:513-460-2214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health