NPIMap

Organization Active NPI

Mazaltov LLC

  • Attendant Care Provider
  • Deerfield Beach, FL
National Provider Identifier
1093562720
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
MAZALTOV LLC
Practice address
10 Fairway Dr.
Suite 100, Room 209
Deerfield Beach, FL 33441-1812
Phone
(954) 578-3167
Fax
(954) 578-3168
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MAZALTOV LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Olga Yorish
Title
Office Manager
Phone
(561) 806-9048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

10 Fairway Dr.
Suite 100, Room 209
Deerfield Beach, FL 33441-1812

Mailing address

10 Fairway Dr.
Suite 100, Room 209
Deerfield Beach, FL 33441-1812
Phone (954) 578-3167

Other identifiers 1

IdentifierTypeStateIssuer
115273100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Mazaltov LLC3 organizations share this tax ID, including this one
Part of
Mazaltov LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Fairway Dr
Ste 100
Deerfield Beach, FL 33441
Phone (954) 578-3167

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1093562720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY DR.",
            "address_2": "SUITE 100, ROOM 209",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411812",
            "telephone_number": "954-578-3167",
            "fax_number": "954-578-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY DR.",
            "address_2": "SUITE 100, ROOM 209",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411812",
            "telephone_number": "954-578-3167",
            "fax_number": "954-578-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZALTOV LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAZALTOV LLC",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "YORISH",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-806-9048",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115273100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.