Provider Demographics
NPI:1932438009
Name:MPV ASSOCIATES
Entity Type:Organization
Organization Name:MPV ASSOCIATES
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:VENANCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-542-9004
Mailing Address - Street 1:25 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3498
Mailing Address - Country:US
Mailing Address - Phone:732-542-9004
Mailing Address - Fax:732-542-9060
Practice Address - Street 1:25 MAIN ST
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-3498
Practice Address - Country:US
Practice Address - Phone:732-542-9004
Practice Address - Fax:732-542-9060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0132700251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health