Provider Demographics
NPI:1912152331
Name:M & I HOME HEALTH CARE,LLC
Entity Type:Organization
Organization Name:M & I HOME HEALTH CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRU
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:NDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-758-4026
Mailing Address - Street 1:4717 13TH PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3106
Mailing Address - Country:US
Mailing Address - Phone:202-758-4026
Mailing Address - Fax:
Practice Address - Street 1:4717 13TH PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3106
Practice Address - Country:US
Practice Address - Phone:202-758-4026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251E00000XAgenciesHome Health