Provider Demographics
NPI:1992391049
Name:FAVOR HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:FAVOR HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONICAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHANJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-228-7723
Mailing Address - Street 1:10668 NEW EAST BAY DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONTON
Mailing Address - State:FL
Mailing Address - Zip Code:33534-5028
Mailing Address - Country:US
Mailing Address - Phone:832-228-7723
Mailing Address - Fax:
Practice Address - Street 1:1211 TECH BLVD STE 122
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-7846
Practice Address - Country:US
Practice Address - Phone:832-228-7723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health