Provider Demographics
NPI:1245940758
Name:MASE HOME HEALTH CARE INC
Entity type:Organization
Organization Name:MASE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO/ ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARGHALY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:919-802-5636
Mailing Address - Street 1:1618 GRAYSON LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5857
Mailing Address - Country:US
Mailing Address - Phone:919-802-5636
Mailing Address - Fax:
Practice Address - Street 1:1618 GRAYSON LAKES BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5857
Practice Address - Country:US
Practice Address - Phone:919-802-5636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-25
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
No335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1548552664OtherNPPES