Provider Demographics
NPI:1023691219
Name:MOUNTAIN VIEW HOME CARE SERVICES
Entity type:Organization
Organization Name:MOUNTAIN VIEW HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:GARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-770-9858
Mailing Address - Street 1:6655 N FRESNO ST APT 146
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-3721
Mailing Address - Country:US
Mailing Address - Phone:813-770-9858
Mailing Address - Fax:
Practice Address - Street 1:6655 N FRESNO ST APT 146
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-3721
Practice Address - Country:US
Practice Address - Phone:813-770-9858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health