Provider Demographics
NPI:1255199055
Name:MDB HOME CARE LLC
Entity type:Organization
Organization Name:MDB HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINDNES
Authorized Official - Suffix:
Authorized Official - Credentials:RN MPA
Authorized Official - Phone:646-766-1172
Mailing Address - Street 1:12 E 49TH ST STE 16104
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1028
Mailing Address - Country:US
Mailing Address - Phone:646-766-1172
Mailing Address - Fax:845-859-5058
Practice Address - Street 1:12 E 49TH ST STE 16104
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1028
Practice Address - Country:US
Practice Address - Phone:646-766-1172
Practice Address - Fax:845-859-5058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health