Provider Demographics
NPI:1396463444
Name:MAILE IN-HOME CARE LLC
Entity type:Organization
Organization Name:MAILE IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELESEINI
Authorized Official - Middle Name:R
Authorized Official - Last Name:MAILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-714-9549
Mailing Address - Street 1:825 W QUEEN CREEK RD APT 2061
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3207
Mailing Address - Country:US
Mailing Address - Phone:480-714-9549
Mailing Address - Fax:
Practice Address - Street 1:825 W QUEEN CREEK RD APT 2061
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-3207
Practice Address - Country:US
Practice Address - Phone:480-714-9549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care