Active NPI
MZL Home Care Agency LLC
- Home Health Agency
- Patchogue, NY
National Provider Identifier
1265761191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1729L001
- Legal business name
- MZL HOME CARE AGENCY LLC
- Practice address
- 475 East Main Street
Suite 216
Patchogue, NY 11772 - Phone
- (631) 699-2160
- Fax
- (631) 699-2151
- NPI assigned
- Dec 24, 2009
- Last updated
- Sep 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin Hofman
- Title
- Operator
- Phone
- (718) 575-9090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1729L001 | NY | Primary |
Addresses
Primary practice location
475 East Main Street
Suite 216
Patchogue, NY 11772
Mailing address
1819 East 13TH Street
Brooklyn, NY 11229-2870
Phone (718) 575-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1729L001 | Other | NY | NEW YORK STATE DEPARTMENT OF HEALTH |
National Provider Directory
National Provider Directory- Tax ID family
- MZL Home Care Agency LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1255576914
-
- Home Health Agency
- Brooklyn, NY
- NPI 1528567310
-
- Home Health Agency
- Brooklyn, NY
- NPI 1609252352
Locations
475 E Main St
Ste 216
Patchogue, NY 11772
Phone (631) 699-2160
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gerontology Registered Nurse
- Patchogue, NY
- NPI 1639654023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441929600000",
"number": "1265761191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 EAST 13TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292870",
"telephone_number": "718-575-9090",
"fax_number": "718-575-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 EAST MAIN STREET",
"address_2": "SUITE 216",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "11772",
"telephone_number": "631-699-2160",
"fax_number": "631-699-2151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MZL HOME CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-24",
"last_updated": "2015-09-11",
"status": "A",
"authorized_official_last_name": "HOFMAN",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OPERATOR",
"authorized_official_telephone_number": "718-575-9090",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "1729L001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE DEPARTMENT OF HEALTH",
"identifier": "1729L001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.