Provider Demographics
NPI:1184928475
Name:MARIAS HOME INC
Entity type:Organization
Organization Name:MARIAS HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:PAVLOVICH
Authorized Official - Last Name:SAYKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-232-3585
Mailing Address - Street 1:8000 WINNETKA HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-3458
Mailing Address - Country:US
Mailing Address - Phone:763-232-3585
Mailing Address - Fax:763-546-9334
Practice Address - Street 1:8000 WINNETKA HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-3458
Practice Address - Country:US
Practice Address - Phone:763-232-3585
Practice Address - Fax:763-546-9334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-31
Last Update Date:2010-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health