Provider Demographics
NPI:1770267411
Name:MH HOME CARE LLC
Entity type:Organization
Organization Name:MH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-289-6030
Mailing Address - Street 1:3536 MANGROVE AVE APT 18
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3160
Mailing Address - Country:US
Mailing Address - Phone:757-289-6030
Mailing Address - Fax:757-340-4095
Practice Address - Street 1:3536 MANGROVE AVE APT 18
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3160
Practice Address - Country:US
Practice Address - Phone:757-289-6030
Practice Address - Fax:757-340-4095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty