Provider Demographics
NPI:1982218954
Name:MAGNUS HOME CARE LLC
Entity Type:Organization
Organization Name:MAGNUS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUCHNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-266-8403
Mailing Address - Street 1:804 2ND STREET PIKE UNIT D
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3951
Mailing Address - Country:US
Mailing Address - Phone:267-266-8403
Mailing Address - Fax:
Practice Address - Street 1:804 2ND STREET PIKE UNIT D
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3951
Practice Address - Country:US
Practice Address - Phone:267-266-8403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-07
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care